| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.22 | $95.22 | $95.22 | |
Aetna
| Professional | $44.44 | $89.67 | $109.43 | |
BCBS
| Facility | $226.09 | $246.00 | $256.09 | |
BCBS
| Professional | $52.99 | $105.09 | $143.49 | |
Cigna
| Facility | $143.81 | $143.81 | $143.81 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
United
| Facility | $105.53 | $105.53 | $105.53 | |
United
| Professional | $44.75 | $53.69 | $78.83 |