| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.21 | $113.21 | $180.43 | |
Aetna
| Professional | $87.57 | $129.13 | $180.43 | |
BCBS
| Facility | $156.54 | $156.54 | $156.54 | |
BCBS
| Professional | $156.54 | $156.54 | $156.54 | |
Cigna
| Facility | $132.63 | $132.63 | $132.63 | |
Cigna
| Professional | $96.83 | $96.83 | $132.63 | |
United
| Professional | $50.39 | $93.18 | $150.44 |