| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.35 | $137.54 | $145.13 | |
Aetna
| Professional | $106.05 | $125.35 | $303.33 | |
BCBS
| Facility | $175.53 | $175.53 | $198.78 | |
BCBS
| Professional | $124.83 | $157.60 | $251.17 | |
Cigna
| Facility | $152.16 | $152.16 | $152.16 | |
Cigna
| Professional | $127.40 | $181.01 | $295.58 | |
United
| Professional | $120.88 | $159.71 | $252.04 |