| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.76 | $175.15 | $229.00 | |
Aetna
| Professional | $32.88 | $169.60 | $201.98 | |
BCBS
| Facility | $109.23 | $404.62 | $582.60 | |
BCBS
| Professional | $130.43 | $167.77 | $216.30 | |
Cigna
| Facility | $116.03 | $243.15 | $390.60 | |
Cigna
| Professional | $28.27 | $44.48 | $155.93 | |
United
| Facility | $132.69 | $180.78 | $235.69 | |
United
| Professional | $137.60 | $199.02 | $363.76 |