| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $131.83 | $138.04 | $162.18 | |
BCBS
| Facility | $144.54 | $144.54 | $144.54 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Cigna
| Facility | $138.04 | $138.04 | $144.54 | |
Cigna
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $302.00 | $331.13 | $331.13 |