| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.80 | $123.25 | $395.74 | |
Aetna
| Professional | $116.00 | $120.35 | $123.25 | |
BCBS
| Facility | $120.12 | $143.02 | $241.98 | |
BCBS
| Professional | $45.00 | $45.00 | $123.86 | |
Cigna
| Facility | $123.25 | $123.25 | $123.25 | |
Cigna
| Professional | $80.54 | $80.54 | $80.54 | |
United
| Professional | $469.80 | $469.80 | $469.80 |