| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.04 | $109.48 | $137.19 | |
Aetna
| Professional | $94.15 | $109.48 | $161.77 | |
BCBS
| Facility | $210.96 | $225.89 | $421.92 | |
BCBS
| Professional | $123.26 | $170.35 | $205.24 | |
Cigna
| Facility | $171.65 | $171.65 | $171.65 | |
Cigna
| Professional | $145.90 | $171.65 | $176.80 | |
United
| Professional | $80.31 | $108.41 | $161.65 |