| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.41 | $114.41 | $178.76 | |
Aetna
| Professional | $114.41 | $178.76 | $201.95 | |
BCBS
| Facility | $158.19 | $158.19 | $158.19 | |
BCBS
| Professional | $158.19 | $158.19 | $158.19 | |
Cigna
| Facility | $170.15 | $170.15 | $170.15 | |
Cigna
| Professional | $124.21 | $124.21 | $170.15 | |
United
| Professional | $67.90 | $105.86 | $161.25 |