| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.50 | $216.45 | $457.14 | |
Aetna
| Professional | $105.00 | $121.50 | $141.00 | |
BCBS
| Facility | $64.90 | $180.00 | $374.62 | |
BCBS
| Professional | $60.00 | $71.72 | $157.44 | |
Cigna
| Facility | $137.47 | $252.52 | $437.29 | |
Cigna
| Professional | $153.37 | $166.16 | $199.07 | |
United
| Professional | $63.00 | $90.00 | $172.50 |