| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.51 | $190.34 | $331.02 | |
Aetna
| Professional | $129.10 | $190.34 | $190.34 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $38.90 | $57.17 | $67.45 | |
Cigna
| Facility | $104.81 | $134.47 | $518.59 | |
Cigna
| Professional | $71.61 | $93.51 | $678.90 | |
United
| Facility | $59.58 | $59.58 | $148.96 | |
United
| Professional | $69.51 | $69.51 | $99.55 |