| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.38 | $93.38 | $145.90 | |
Aetna
| Professional | $87.42 | $126.32 | $145.90 | |
BCBS
| Facility | $129.11 | $129.11 | $129.11 | |
BCBS
| Professional | $129.11 | $129.11 | $129.11 | |
Cigna
| Facility | $97.54 | $97.54 | $97.54 | |
Cigna
| Professional | $71.20 | $71.20 | $97.54 | |
United
| Professional | $48.41 | $83.12 | $113.30 |