| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.29 | $96.29 | $96.29 | |
Aetna
| Professional | $44.15 | $89.57 | $106.90 | |
BCBS
| Facility | $196.66 | $212.76 | $223.49 | |
BCBS
| Professional | $54.15 | $105.82 | $142.58 | |
Cigna
| Facility | $152.94 | $152.94 | $152.94 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
United
| Professional | $44.46 | $57.38 | $78.31 |