| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.67 | $86.67 | $91.74 | |
Aetna
| Professional | $59.29 | $77.77 | $104.81 | |
BCBS
| Facility | $113.35 | $125.44 | $165.51 | |
BCBS
| Professional | $98.51 | $103.18 | $133.43 | |
Cigna
| Facility | $81.17 | $81.17 | $114.51 | |
Cigna
| Professional | $68.98 | $81.17 | $144.38 | |
United
| Professional | $59.56 | $77.84 | $128.69 |