| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.55 | $201.24 | $1,150.20 | |
Aetna
| Professional | $108.47 | $109.54 | $148.96 | |
BCBS
| Facility | $110.08 | $178.61 | $346.56 | |
BCBS
| Professional | $108.47 | $108.47 | $127.45 | |
Cigna
| Facility | $102.33 | $108.47 | $153.06 | |
Cigna
| Professional | $108.47 | $108.47 | $138.13 | |
United
| Professional | $108.47 | $111.72 | $132.33 |