| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.99 | $109.24 | $189.98 | |
Aetna
| Professional | $74.09 | $109.24 | $109.24 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $90.24 | $153.75 | $181.43 | |
Cigna
| Facility | $34.11 | $77.18 | $297.80 | |
Cigna
| Professional | $41.12 | $42.29 | $100.17 | |
United
| Professional | $39.90 | $39.90 | $56.99 |