| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.64 | $103.92 | $123.73 | |
Aetna
| Professional | $94.36 | $112.90 | $160.00 | |
BCBS
| Facility | $194.02 | $206.16 | $394.62 | |
BCBS
| Professional | $114.31 | $120.05 | $165.94 | |
Cigna
| Facility | $106.02 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $213.42 | |
United
| Professional | $74.95 | $98.44 | $156.91 |