| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.03 | $161.52 | $279.63 | |
Aetna
| Professional | $118.11 | $140.72 | $181.21 | |
BCBS
| Facility | $148.88 | $180.13 | $564.17 | |
BCBS
| Professional | $59.50 | $70.00 | $96.60 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $288.99 | $303.29 | $363.38 | |
United
| Professional | $27.46 | $27.46 | $27.71 |