| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.92 | $91.92 | $91.92 | |
Aetna
| Professional | $44.41 | $90.09 | $100.73 | |
BCBS
| Facility | $210.48 | $226.68 | $237.48 | |
BCBS
| Professional | $49.65 | $105.03 | $143.41 | |
Cigna
| Facility | $140.02 | $140.02 | $140.02 | |
Cigna
| Professional | $51.62 | $51.62 | $51.62 | |
United
| Professional | $44.72 | $53.89 | $80.83 |