| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $223.87 | $245.47 | |
Aetna
| Professional | $91.20 | $100.00 | $223.87 | |
BCBS
| Facility | $190.55 | $190.55 | $190.55 | |
BCBS
| Professional | $190.55 | $190.55 | $190.55 | |
Cigna
| Facility | $79.43 | $83.18 | $125.89 | |
Cigna
| Professional | $56.23 | $117.49 | $234.42 | |
United
| Facility | $109.65 | $123.03 | $151.36 | |
United
| Professional | $51.29 | $75.86 | $338.84 |