| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.25 | $90.25 | $90.25 | |
Aetna
| Professional | $127.93 | $155.21 | $242.69 | |
BCBS
| Facility | $270.66 | $270.66 | $270.66 | |
BCBS
| Professional | $270.66 | $270.66 | $270.66 | |
Cigna
| Facility | $135.00 | $135.00 | $300.07 | |
Cigna
| Professional | $98.55 | $98.55 | $135.00 | |
United
| Professional | $110.44 | $122.20 | $135.66 |