| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.10 | $85.47 | $93.38 | |
Aetna
| Professional | $76.42 | $123.34 | $135.66 | |
BCBS
| Facility | $926.00 | $1,310.00 | $3,500.00 | |
BCBS
| Professional | $62.40 | $67.67 | $103.21 | |
Cigna
| Facility | $108.25 | $108.25 | $108.25 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
United
| Professional | $67.58 | $96.17 | $161.72 |