| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.82 | $125.82 | $200.53 | |
Aetna
| Professional | $118.10 | $143.52 | $200.53 | |
BCBS
| Facility | $173.98 | $173.98 | $173.98 | |
BCBS
| Professional | $173.98 | $173.98 | $173.98 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $91.70 | $188.55 | |
United
| Professional | $66.86 | $106.59 | $167.20 |