| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.39 | $91.39 | $91.39 | |
Aetna
| Professional | $45.64 | $86.09 | $110.39 | |
BCBS
| Facility | $178.42 | $195.13 | $206.27 | |
BCBS
| Professional | $46.91 | $100.36 | $137.03 | |
Cigna
| Facility | $160.58 | $160.58 | $160.58 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
United
| Professional | $42.73 | $51.28 | $77.83 |