| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.84 | $133.13 | $144.80 | |
Aetna
| Professional | $56.01 | $126.87 | $162.91 | |
BCBS
| Facility | $406.89 | $469.36 | $469.36 | |
BCBS
| Professional | $84.69 | $118.58 | $141.83 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $128.26 | $128.26 | $186.28 | |
United
| Professional | $125.72 | $174.37 | $304.37 |