| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.61 | $117.61 | $187.44 | |
Aetna
| Professional | $110.40 | $134.13 | $187.44 | |
BCBS
| Facility | $162.62 | $162.62 | $162.62 | |
BCBS
| Professional | $162.62 | $162.62 | $162.62 | |
Cigna
| Facility | $147.05 | $147.05 | $147.05 | |
Cigna
| Professional | $107.35 | $107.35 | $175.98 | |
United
| Professional | $62.40 | $99.62 | $156.28 |