| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.69 | $271.69 | $271.69 | |
Aetna
| Professional | $38.75 | $95.00 | $150.52 | |
BCBS
| Facility | $47.25 | $55.65 | $60.48 | |
BCBS
| Professional | $35.44 | $35.44 | $200.39 | |
Cigna
| Facility | $106.25 | $106.25 | $186.78 | |
Cigna
| Professional | $62.74 | $62.74 | $127.66 | |
United
| Facility | $56.70 | $56.70 | $56.70 | |
United
| Professional | $19.85 | $28.35 | $68.15 |