| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.92 | $79.92 | $103.56 | |
Aetna
| Professional | $60.60 | $83.30 | $121.45 | |
BCBS
| Facility | $138.69 | $171.04 | $282.99 | |
BCBS
| Professional | $81.20 | $81.20 | $126.90 | |
Cigna
| Facility | $86.66 | $86.66 | $86.66 | |
Cigna
| Professional | $63.26 | $86.66 | $99.50 | |
United
| Professional | $55.76 | $69.19 | $110.29 |