| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.97 | $128.97 | $128.97 | |
Aetna
| Professional | $67.90 | $78.67 | $128.97 | |
BCBS
| Facility | $208.35 | $295.12 | $333.17 | |
BCBS
| Professional | $96.46 | $96.46 | $137.80 | |
Cigna
| Professional | $60.12 | $60.12 | $60.12 | |
United
| Professional | $56.11 | $73.52 | $122.53 |