| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.60 | $136.60 | $213.44 | |
Aetna
| Professional | $128.22 | $213.44 | $222.61 | |
BCBS
| Facility | $188.90 | $188.90 | $188.90 | |
BCBS
| Professional | $188.90 | $188.90 | $188.90 | |
Cigna
| Facility | $184.91 | $184.91 | $184.91 | |
Cigna
| Professional | $134.97 | $134.97 | $184.91 | |
United
| Professional | $81.06 | $121.61 | $187.40 |