| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.69 | $134.69 | $214.66 | |
Aetna
| Professional | $128.25 | $153.63 | $216.76 | |
BCBS
| Facility | $186.25 | $186.25 | $186.25 | |
BCBS
| Professional | $186.25 | $186.25 | $186.25 | |
Cigna
| Facility | $152.55 | $152.55 | $153.72 | |
Cigna
| Professional | $111.36 | $111.36 | $153.72 | |
United
| Professional | $71.02 | $111.81 | $178.98 |