| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.21 | $130.21 | $137.85 | |
Aetna
| Professional | $86.42 | $119.04 | $158.09 | |
BCBS
| Facility | $169.81 | $180.10 | $180.10 | |
BCBS
| Professional | $137.94 | $152.99 | $186.10 | |
Cigna
| Facility | $112.00 | $112.73 | $162.10 | |
Cigna
| Professional | $16.55 | $112.73 | $196.20 | |
United
| Professional | $70.20 | $98.13 | $162.06 |