| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.79 | $89.79 | $143.10 | |
Aetna
| Professional | $84.27 | $102.41 | $143.10 | |
BCBS
| Facility | $124.15 | $124.15 | $124.15 | |
BCBS
| Professional | $124.15 | $124.15 | $124.15 | |
Cigna
| Facility | $88.96 | $88.96 | $88.96 | |
Cigna
| Professional | $64.94 | $64.94 | $88.96 | |
United
| Professional | $47.35 | $76.06 | $119.31 |