| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.34 | $193.34 | $201.77 | |
Aetna
| Professional | $28.77 | $33.52 | $33.52 | |
BCBS
| Facility | $37.20 | $41.56 | $96.21 | |
BCBS
| Professional | $22.37 | $26.32 | $26.32 | |
Cigna
| Facility | $103.49 | $113.21 | $199.02 | |
Cigna
| Professional | $18.45 | $18.45 | $31.23 | |
United
| Professional | $14.74 | $35.09 | $69.43 |