| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $131.83 | $131.83 | |
Aetna
| Professional | $38.90 | $56.23 | $169.82 | |
BCBS
| Facility | $53.70 | $79.43 | $89.13 | |
BCBS
| Professional | $38.90 | $51.29 | $74.13 | |
Cigna
| Facility | $104.71 | $181.97 | $190.55 | |
Cigna
| Professional | $33.88 | $40.74 | $190.55 | |
United
| Facility | $83.18 | $83.18 | $83.18 | |
United
| Professional | $28.84 | $40.74 | $87.10 |