| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $302.00 | $724.44 | |
Aetna
| Professional | $89.13 | $134.90 | $257.04 | |
BCBS
| Facility | $147.91 | $213.80 | $707.95 | |
BCBS
| Professional | $66.07 | $89.13 | $263.03 | |
Cigna
| Facility | $107.15 | $316.23 | $707.95 | |
Cigna
| Professional | $81.28 | $199.53 | $398.11 | |
United
| Facility | $100.00 | $165.96 | $199.53 | |
United
| Professional | $69.18 | $100.00 | $199.53 |