| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $186.21 | |
Aetna
| Professional | $70.79 | $89.13 | $134.90 | |
BCBS
| Facility | $123.03 | $123.03 | $165.96 | |
BCBS
| Professional | $95.50 | $95.50 | $144.54 | |
Cigna
| Facility | $69.18 | $85.11 | $199.53 | |
United
| Facility | $95.50 | $95.50 | $107.15 | |
United
| Professional | $44.67 | $64.57 | $107.15 |