| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.08 | $129.63 | $136.12 | |
Aetna
| Professional | $95.90 | $100.70 | $129.63 | |
BCBS
| Facility | $117.21 | $117.21 | $117.21 | |
BCBS
| Professional | $117.21 | $117.21 | $163.03 | |
Cigna
| Facility | $90.47 | $95.90 | $336.99 | |
Cigna
| Professional | $95.90 | $95.90 | $122.14 | |
United
| Professional | $95.90 | $95.90 | $160.43 |