| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $186.21 | $549.54 | |
Aetna
| Professional | $63.10 | $89.13 | $107.15 | |
BCBS
| Facility | $87.10 | $407.38 | $549.54 | |
BCBS
| Professional | $51.29 | $85.11 | $144.54 | |
Cigna
| Facility | $114.82 | $162.18 | $416.87 | |
Cigna
| Professional | $117.49 | $436.52 | $436.52 | |
United
| Facility | $97.72 | $190.55 | $501.19 | |
United
| Professional | $67.61 | $100.00 | $177.83 |