| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.04 | $115.04 | $121.82 | |
Aetna
| Professional | $83.21 | $108.00 | $133.90 | |
BCBS
| Facility | $143.83 | $149.99 | $210.04 | |
BCBS
| Professional | $121.28 | $136.59 | $161.09 | |
Cigna
| Facility | $64.17 | $64.17 | $139.79 | |
Cigna
| Professional | $14.75 | $64.17 | $177.36 | |
United
| Professional | $61.98 | $89.19 | $154.44 |