| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $106.00 | $112.26 | |
Aetna
| Professional | $80.62 | $99.16 | $129.31 | |
BCBS
| Facility | $164.86 | $171.92 | $214.91 | |
BCBS
| Professional | $105.52 | $132.21 | $133.63 | |
Cigna
| Facility | $111.50 | $111.50 | $126.58 | |
Cigna
| Professional | $94.78 | $111.50 | $187.66 | |
United
| Professional | $66.86 | $88.17 | $137.62 |