| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.36 | $137.44 | $200.50 | |
Aetna
| Professional | $114.54 | $115.68 | $137.44 | |
BCBS
| Facility | $106.00 | $106.00 | $106.00 | |
BCBS
| Professional | $106.00 | $106.00 | $130.03 | |
Cigna
| Facility | $108.05 | $114.54 | $136.47 | |
Cigna
| Professional | $114.54 | $114.54 | $114.54 | |
United
| Professional | $114.54 | $114.54 | $243.78 |