| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.00 | $108.00 | $108.00 | |
Aetna
| Professional | $72.00 | $84.60 | $108.00 | |
BCBS
| Facility | $264.20 | $264.20 | $264.20 | |
BCBS
| Professional | $80.70 | $100.70 | $100.70 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
United
| Professional | $84.60 | $103.40 | $265.49 |