| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $295.12 | |
Aetna
| Professional | $89.13 | $128.82 | $169.82 | |
BCBS
| Facility | $14.45 | $16.98 | $22.91 | |
BCBS
| Professional | $48.98 | $70.79 | $128.82 | |
Cigna
| Facility | $104.71 | $128.82 | $323.59 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Facility | $69.18 | $147.91 | $177.83 | |
United
| Professional | $63.10 | $83.18 | $100.00 |