| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.01 | $177.73 | $382.27 | |
Aetna
| Professional | $93.89 | $109.99 | $120.72 | |
BCBS
| Facility | $220.64 | $279.68 | $523.11 | |
BCBS
| Professional | $134.13 | $279.68 | $279.68 | |
Cigna
| Facility | $105.44 | $225.58 | $411.76 | |
Cigna
| Professional | $160.96 | $163.72 | $200.30 | |
United
| Facility | $120.72 | $120.72 | $120.72 | |
United
| Professional | $56.33 | $80.48 | $160.96 |