| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.70 | $114.54 | $114.54 | |
Aetna
| Professional | $114.54 | $115.68 | $127.24 | |
BCBS
| Facility | $212.41 | $257.77 | $346.78 | |
BCBS
| Professional | $114.54 | $114.54 | $114.54 | |
Cigna
| Facility | $114.54 | $114.54 | $114.54 | |
Cigna
| Professional | $114.54 | $114.54 | $266.07 | |
United
| Professional | $114.54 | $114.54 | $114.54 |