| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $158.49 | |
Aetna
| Professional | $61.66 | $77.62 | $141.25 | |
BCBS
| Facility | $104.71 | $104.71 | $144.54 | |
BCBS
| Professional | $91.20 | $91.20 | $138.04 | |
Cigna
| Facility | $60.26 | $138.04 | $190.55 | |
United
| Facility | $83.18 | $83.18 | $91.20 | |
United
| Professional | $38.90 | $56.23 | $125.89 |