| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.30 | $115.30 | $183.76 | |
Aetna
| Professional | $111.17 | $131.52 | $183.76 | |
BCBS
| Facility | $159.44 | $159.44 | $159.44 | |
BCBS
| Professional | $159.44 | $159.44 | $159.44 | |
Cigna
| Facility | $142.94 | $142.94 | $142.94 | |
Cigna
| Professional | $104.35 | $104.35 | $142.94 | |
United
| Professional | $66.53 | $97.68 | $153.77 |