| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.59 | $252.25 | $532.75 | |
Aetna
| Professional | $122.37 | $141.60 | $164.32 | |
BCBS
| Facility | $174.81 | $193.17 | $545.91 | |
BCBS
| Professional | $104.30 | $180.36 | $279.94 | |
Cigna
| Facility | $142.04 | $295.44 | $524.40 | |
Cigna
| Professional | $202.73 | $212.76 | $254.91 | |
United
| Facility | $174.81 | $174.81 | $209.77 | |
United
| Professional | $73.42 | $104.89 | $201.03 |