| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.99 | $120.81 | $141.78 | |
Aetna
| Professional | $90.47 | $104.58 | $146.52 | |
BCBS
| Facility | $149.18 | $149.18 | $168.94 | |
BCBS
| Professional | $106.33 | $135.97 | $219.36 | |
Cigna
| Facility | $132.90 | $132.90 | $132.90 | |
Cigna
| Professional | $110.96 | $154.81 | $257.06 | |
United
| Professional | $104.51 | $135.19 | $224.50 |