| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.51 | $136.51 | $217.57 | |
Aetna
| Professional | $129.97 | $155.71 | $217.57 | |
BCBS
| Facility | $188.76 | $188.76 | $188.76 | |
BCBS
| Professional | $188.76 | $188.76 | $188.76 | |
Cigna
| Facility | $135.22 | $135.22 | $135.22 | |
Cigna
| Professional | $98.72 | $98.72 | $135.22 | |
United
| Professional | $71.98 | $115.64 | $181.40 |