| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.30 | $120.13 | $139.50 | |
Aetna
| Professional | $92.83 | $120.65 | $165.64 | |
BCBS
| Facility | $200.02 | $255.74 | $422.87 | |
BCBS
| Professional | $119.00 | $119.68 | $165.15 | |
Cigna
| Facility | $142.94 | $142.94 | $142.94 | |
Cigna
| Professional | $104.35 | $142.94 | $154.28 | |
United
| Professional | $82.80 | $102.65 | $164.59 |