| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.13 | $87.13 | $87.13 | |
Aetna
| Professional | $43.99 | $81.96 | $101.36 | |
BCBS
| Facility | $192.82 | $212.33 | $215.58 | |
BCBS
| Professional | $47.42 | $102.70 | $130.07 | |
Cigna
| Facility | $133.83 | $133.83 | $133.83 | |
Cigna
| Professional | $46.82 | $46.82 | $46.82 | |
United
| Professional | $40.56 | $48.85 | $73.95 |