| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.92 | $120.92 | $120.92 | |
Aetna
| Professional | $55.83 | $107.00 | $123.15 | |
BCBS
| Facility | $238.16 | $263.19 | $279.88 | |
BCBS
| Professional | $63.02 | $121.41 | $166.89 | |
Cigna
| Facility | $168.37 | $168.37 | $168.37 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
United
| Professional | $52.04 | $67.69 | $96.23 |