| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.25 | $270.25 | $270.25 | |
Aetna
| Professional | $38.54 | $83.30 | $133.72 | |
BCBS
| Facility | $47.00 | $55.36 | $60.16 | |
BCBS
| Professional | $35.25 | $35.25 | $200.39 | |
Cigna
| Facility | $87.38 | $87.38 | $153.60 | |
Cigna
| Professional | $62.26 | $62.26 | $127.66 | |
United
| Professional | $19.73 | $28.20 | $67.79 |