| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.57 | $111.66 | $166.12 | |
Aetna
| Professional | $93.21 | $104.50 | $132.51 | |
BCBS
| Facility | $685.50 | $1,166.15 | $3,483.70 | |
BCBS
| Professional | $121.01 | $148.29 | $211.22 | |
Cigna
| Professional | $150.51 | $190.33 | $190.33 | |
United
| Professional | $133.00 | $152.00 | $224.00 |