| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.34 | $137.34 | $218.88 | |
Aetna
| Professional | $105.45 | $137.34 | $218.88 | |
BCBS
| Facility | $189.91 | $189.91 | $189.91 | |
BCBS
| Professional | $189.91 | $189.91 | $189.91 | |
Cigna
| Facility | $126.23 | $126.23 | $126.23 | |
Cigna
| Professional | $92.15 | $92.15 | $126.23 | |
United
| Professional | $61.13 | $113.04 | $182.50 |