| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.64 | $109.64 | $174.74 | |
Aetna
| Professional | $102.92 | $125.06 | $174.74 | |
BCBS
| Facility | $151.61 | $151.61 | $151.61 | |
BCBS
| Professional | $151.61 | $151.61 | $151.61 | |
Cigna
| Facility | $129.63 | $129.63 | $129.63 | |
Cigna
| Professional | $94.64 | $94.64 | $163.05 | |
United
| Professional | $57.81 | $92.89 | $154.54 |