| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.03 | $129.64 | $423.14 | |
Aetna
| Professional | $91.91 | $93.03 | $106.48 | |
BCBS
| Facility | $113.63 | $167.50 | $319.00 | |
BCBS
| Professional | $95.27 | $100.00 | $112.08 | |
Cigna
| Facility | $95.27 | $95.27 | $95.27 | |
Cigna
| Professional | $95.27 | $95.27 | $95.27 | |
United
| Professional | $100.00 | $100.00 | $112.08 |