| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.82 | $292.02 | $541.14 | |
Aetna
| Professional | $19.00 | $24.84 | $33.13 | |
BCBS
| Facility | $31.54 | $44.52 | $77.52 | |
BCBS
| Professional | $22.08 | $31.54 | $51.38 | |
Cigna
| Facility | $29.77 | $81.81 | $143.82 | |
Cigna
| Professional | $21.48 | $26.06 | $58.85 | |
United
| Professional | $10.50 | $21.98 | $71.34 |