| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.00 | $74.84 | $86.40 | |
Aetna
| Professional | $69.80 | $72.00 | $119.20 | |
BCBS
| Facility | $113.35 | $133.52 | $186.71 | |
BCBS
| Professional | $39.00 | $39.00 | $140.59 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $52.17 | $103.71 | |
United
| Professional | $71.31 | $105.43 | $165.49 |