| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.51 | $242.19 | $689.96 | |
Aetna
| Professional | $101.98 | $105.81 | $127.48 | |
BCBS
| Facility | $115.80 | $180.61 | $328.48 | |
BCBS
| Professional | $104.87 | $106.66 | $114.08 | |
Cigna
| Facility | $108.36 | $108.36 | $108.36 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
United
| Professional | $106.24 | $106.24 | $127.48 |