| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.99 | $206.64 | $446.77 | |
Aetna
| Professional | $94.11 | $106.33 | $208.38 | |
BCBS
| Facility | $122.22 | $156.15 | $422.88 | |
BCBS
| Professional | $60.36 | $74.39 | $164.55 | |
Cigna
| Facility | $108.98 | $214.49 | $405.30 | |
Cigna
| Professional | $76.95 | $138.88 | $259.94 | |
United
| Facility | $122.22 | $122.22 | $122.22 | |
United
| Professional | $51.33 | $73.33 | $166.74 |