| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.16 | $105.16 | $105.16 | |
Aetna
| Professional | $49.60 | $100.18 | $126.49 | |
BCBS
| Facility | $235.81 | $254.05 | $266.22 | |
BCBS
| Professional | $54.19 | $117.30 | $158.58 | |
Cigna
| Facility | $184.01 | $184.01 | $184.01 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
United
| Professional | $49.94 | $59.93 | $90.27 |