| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $39.81 | $144.54 | |
Aetna
| Professional | $12.02 | $16.98 | $128.82 | |
BCBS
| Facility | $47.86 | $47.86 | $169.82 | |
BCBS
| Professional | $30.20 | $56.23 | $123.03 | |
Cigna
| Facility | $104.71 | $181.97 | $181.97 | |
Cigna
| Professional | $19.05 | $26.92 | $51.29 | |
United
| Facility | $23.99 | $125.89 | $199.53 | |
United
| Professional | $23.99 | $131.83 | $257.04 |