| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.91 | $135.91 | $212.38 | |
Aetna
| Professional | $121.55 | $174.01 | $221.25 | |
BCBS
| Facility | $187.95 | $187.95 | $187.95 | |
BCBS
| Professional | $187.95 | $187.95 | $187.95 | |
Cigna
| Facility | $170.89 | $170.89 | $170.89 | |
Cigna
| Professional | $124.75 | $124.75 | $170.89 | |
United
| Professional | $67.31 | $121.00 | $164.91 |