| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.20 | $43.20 | $701.21 | |
Aetna
| Professional | $43.20 | $43.20 | $116.89 | |
BCBS
| Professional | $57.12 | $81.59 | $96.29 | |
Cigna
| Facility | $226.19 | $399.56 | $541.78 | |
United
| Facility | $238.01 | $506.20 | $528.90 | |
United
| Professional | $86.65 | $99.03 | $136.47 |