| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $128.82 | $169.82 | |
Aetna
| Professional | $74.13 | $91.20 | $128.82 | |
BCBS
| Facility | $162.18 | $194.98 | $263.03 | |
BCBS
| Professional | $18.20 | $22.39 | $72.44 | |
Cigna
| Facility | $87.10 | $95.50 | $239.88 | |
Cigna
| Professional | $128.82 | $128.82 | $162.18 | |
United
| Facility | $46.77 | $100.00 | $112.20 | |
United
| Professional | $46.77 | $56.23 | $112.20 |