| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.93 | $109.93 | $175.20 | |
Aetna
| Professional | $103.19 | $125.38 | $175.20 | |
BCBS
| Facility | $152.01 | $152.01 | $152.01 | |
BCBS
| Professional | $152.01 | $152.01 | $152.01 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $163.51 | |
United
| Professional | $57.99 | $93.13 | $146.08 |