| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.54 | $153.87 | $320.45 | |
Aetna
| Professional | $78.94 | $96.54 | $153.87 | |
BCBS
| Facility | $133.50 | $133.50 | $133.50 | |
BCBS
| Professional | $133.50 | $133.50 | $133.50 | |
Cigna
| Facility | $115.38 | $115.38 | $141.93 | |
Cigna
| Professional | $84.23 | $84.23 | $134.13 | |
United
| Professional | $47.57 | $81.79 | $128.29 |