| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.88 | $142.35 | $295.43 | |
Aetna
| Professional | $132.44 | $134.88 | $138.13 | |
BCBS
| Facility | $0.02 | $0.03 | $0.05 | |
BCBS
| Professional | $137.80 | $137.80 | $180.98 | |
Cigna
| Facility | $137.80 | $137.80 | $137.80 | |
Cigna
| Professional | $137.80 | $137.80 | $137.80 | |
United
| Professional | $332.96 | $332.96 | $352.94 |