| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.27 | $91.27 | $145.46 | |
Aetna
| Professional | $74.63 | $104.11 | $145.46 | |
BCBS
| Facility | $126.21 | $126.21 | $126.21 | |
BCBS
| Professional | $126.21 | $126.21 | $126.21 | |
Cigna
| Facility | $117.36 | $117.36 | $126.78 | |
Cigna
| Professional | $85.67 | $85.67 | $126.78 | |
United
| Professional | $50.20 | $75.77 | $121.28 |