| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.88 | $155.41 | $194.31 | |
Aetna
| Professional | $125.57 | $144.25 | $156.79 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $156.75 | $159.81 | $173.71 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $210.68 | $210.68 | |
United
| Professional | $95.13 | $132.41 | $224.31 |