| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $158.49 | $158.49 | |
Aetna
| Professional | $22.91 | $23.99 | $28.18 | |
BCBS
| Facility | $0.02 | $74.13 | $83.18 | |
BCBS
| Professional | $46.77 | $46.77 | $46.77 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
United
| Facility | $41.69 | $41.69 | $41.69 | |
United
| Professional | $14.79 | $20.89 | $50.12 |