| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.18 | $136.18 | $136.18 | |
Aetna
| Professional | $138.74 | $151.22 | $152.61 | |
BCBS
| Facility | $240.24 | $282.63 | $282.63 | |
BCBS
| Professional | $240.24 | $282.63 | $282.63 | |
Cigna
| Facility | $130.88 | $130.88 | $130.88 | |
Cigna
| Professional | $138.74 | $196.33 | $196.33 | |
United
| Professional | $138.74 | $138.74 | $138.74 |