| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.54 | $223.66 | $248.11 | |
Aetna
| Professional | $96.55 | $223.66 | $248.11 | |
BCBS
| Facility | $181.95 | $181.95 | $181.95 | |
BCBS
| Professional | $181.95 | $181.95 | $181.95 | |
Cigna
| Facility | $79.44 | $92.71 | $248.74 | |
Cigna
| Professional | $55.62 | $127.77 | $232.31 | |
United
| Facility | $122.22 | $122.22 | $122.22 | |
United
| Professional | $51.33 | $83.37 | $244.44 |