| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.92 | $108.92 | $173.58 | |
Aetna
| Professional | $106.11 | $124.23 | $176.86 | |
BCBS
| Facility | $150.61 | $150.61 | $150.61 | |
BCBS
| Professional | $150.61 | $150.61 | $150.61 | |
Cigna
| Facility | $119.29 | $119.29 | $119.29 | |
Cigna
| Professional | $87.08 | $87.08 | $179.05 | |
United
| Professional | $63.49 | $92.27 | $146.76 |