| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.28 | $89.40 | $89.40 | |
Aetna
| Professional | $76.79 | $94.89 | $138.21 | |
BCBS
| Facility | $112.96 | $112.96 | $511.24 | |
BCBS
| Professional | $88.95 | $109.51 | $180.59 | |
Cigna
| Facility | $106.03 | $106.03 | $106.03 | |
Cigna
| Professional | $81.84 | $81.84 | $81.84 | |
United
| Professional | $90.52 | $119.92 | $208.35 |