| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.05 | $108.05 | $108.05 | |
Aetna
| Professional | $55.24 | $105.88 | $138.55 | |
BCBS
| Facility | $238.23 | $259.03 | $272.90 | |
BCBS
| Professional | $55.40 | $119.97 | $167.97 | |
Cigna
| Facility | $201.56 | $201.56 | $201.56 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
United
| Professional | $53.63 | $64.36 | $96.73 |