| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.20 | $121.20 | $121.20 | |
Aetna
| Professional | $60.05 | $110.95 | $137.52 | |
BCBS
| Facility | $241.81 | $264.56 | $279.72 | |
BCBS
| Professional | $63.23 | $136.94 | $177.56 | |
Cigna
| Facility | $180.55 | $180.55 | $180.55 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
United
| Professional | $55.37 | $68.37 | $100.86 |