| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.12 | $1,742.86 | $3,127.21 | |
Aetna
| Professional | $99.12 | $104.08 | $2,452.80 | |
BCBS
| Facility | $127.16 | $127.16 | $127.16 | |
Cigna
| Facility | $99.13 | $99.13 | $125.30 | |
Cigna
| Professional | $99.13 | $99.13 | $99.13 | |
United
| Professional | $99.13 | $103.10 | $143.74 |