| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.33 | $167.46 | $314.40 | |
Aetna
| Professional | $114.54 | $119.16 | $285.20 | |
BCBS
| Facility | $114.54 | $190.59 | $366.53 | |
BCBS
| Professional | $114.54 | $114.54 | $116.83 | |
Cigna
| Facility | $108.05 | $114.54 | $114.54 | |
Cigna
| Professional | $114.54 | $114.54 | $114.54 | |
United
| Professional | $114.54 | $114.54 | $153.13 |