| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.89 | $119.88 | $165.09 | |
Aetna
| Professional | $93.20 | $112.64 | $158.94 | |
BCBS
| Facility | $204.94 | $219.39 | $409.88 | |
BCBS
| Professional | $102.41 | $114.05 | $169.26 | |
Cigna
| Facility | $140.54 | $140.54 | $140.54 | |
Cigna
| Professional | $102.59 | $102.59 | $220.32 | |
United
| Professional | $77.52 | $102.25 | $155.27 |