| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.20 | $199.89 | $383.53 | |
Aetna
| Professional | $54.69 | $54.69 | $69.47 | |
BCBS
| Facility | $78.56 | $82.04 | $135.28 | |
BCBS
| Professional | $35.02 | $50.03 | $127.01 | |
Cigna
| Facility | $67.54 | $158.13 | $277.98 | |
Cigna
| Professional | $50.93 | $73.73 | $95.51 | |
United
| Professional | $23.35 | $48.68 | $106.72 |