| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.04 | $108.04 | $172.20 | |
Aetna
| Professional | $88.35 | $127.38 | $172.20 | |
BCBS
| Facility | $149.41 | $149.41 | $149.41 | |
BCBS
| Professional | $149.41 | $149.41 | $149.41 | |
Cigna
| Facility | $138.33 | $138.33 | $203.46 | |
Cigna
| Professional | $100.98 | $100.98 | $180.83 | |
United
| Professional | $64.12 | $91.53 | $148.22 |