| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.75 | $563.40 | $668.40 | |
Aetna
| Professional | $101.98 | $105.81 | $108.36 | |
BCBS
| Facility | $108.36 | $112.61 | $118.99 | |
BCBS
| Professional | $114.73 | $114.73 | $114.73 | |
Cigna
| Facility | $108.36 | $108.36 | $108.36 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
United
| Professional | $106.24 | $106.24 | $127.48 |