| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $95.50 | $95.50 | |
Aetna
| Professional | $89.13 | $93.33 | $112.20 | |
BCBS
| Facility | $114.82 | $138.04 | $186.21 | |
BCBS
| Professional | $83.18 | $89.13 | $89.13 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $95.50 | $95.50 | $223.87 | |
United
| Facility | $0.08 | $31.62 | $97.72 | |
United
| Professional | $36.31 | $89.13 | $95.50 |