| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.58 | $164.84 | $343.14 | |
Aetna
| Professional | $82.57 | $86.70 | $158.34 | |
BCBS
| Facility | $93.48 | $113.55 | $251.53 | |
BCBS
| Professional | $82.58 | $82.58 | $98.93 | |
Cigna
| Facility | $77.90 | $82.57 | $82.57 | |
Cigna
| Professional | $82.57 | $82.57 | $82.57 | |
United
| Professional | $82.58 | $82.58 | $110.31 |