| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.17 | $107.17 | $107.17 | |
Aetna
| Professional | $56.98 | $108.56 | $122.68 | |
BCBS
| Facility | $285.24 | $311.18 | $311.66 | |
BCBS
| Professional | $56.47 | $121.49 | $169.55 | |
Cigna
| Facility | $169.89 | $169.89 | $169.89 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
United
| Professional | $53.92 | $64.70 | $92.83 |