| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.68 | $109.68 | $171.37 | |
Aetna
| Professional | $102.94 | $159.46 | $171.37 | |
BCBS
| Facility | $151.63 | $151.63 | $151.63 | |
BCBS
| Professional | $151.63 | $151.63 | $151.63 | |
Cigna
| Facility | $67.73 | $67.73 | $67.73 | |
Cigna
| Professional | $57.58 | $57.58 | $67.73 | |
United
| Professional | $57.85 | $97.63 | $133.72 |