| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.93 | $131.93 | $131.93 | |
Aetna
| Professional | $88.93 | $99.82 | $131.93 | |
BCBS
| Facility | $328.75 | $328.75 | $328.75 | |
BCBS
| Professional | $86.70 | $113.67 | $161.59 | |
Cigna
| Professional | $92.85 | $92.85 | $116.28 | |
United
| Professional | $100.26 | $135.94 | $192.81 |