| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.57 | $84.57 | $134.78 | |
Aetna
| Professional | $84.57 | $107.47 | $136.10 | |
BCBS
| Facility | $141.18 | $141.18 | $141.18 | |
BCBS
| Professional | $141.18 | $141.18 | $141.18 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $94.02 | $128.79 | |
United
| Professional | $57.99 | $94.81 | $153.53 |