| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $251.19 | $645.65 | |
Aetna
| Professional | $93.33 | $114.82 | $162.18 | |
BCBS
| Facility | $128.82 | $181.97 | $645.65 | |
BCBS
| Professional | $5.89 | $5.89 | $177.83 | |
Cigna
| Facility | $93.33 | $275.42 | $602.56 | |
Cigna
| Professional | $165.96 | $208.93 | $389.05 | |
United
| Facility | $85.11 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $85.11 | $181.97 |