| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.52 | $105.52 | $168.17 | |
Aetna
| Professional | $99.05 | $122.48 | $168.17 | |
BCBS
| Facility | $145.91 | $145.91 | $145.91 | |
BCBS
| Professional | $145.91 | $145.91 | $145.91 | |
Cigna
| Facility | $110.15 | $110.15 | $110.15 | |
Cigna
| Professional | $80.41 | $80.41 | $110.15 | |
United
| Professional | $58.62 | $88.42 | $148.58 |