| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.30 | $275.13 | $275.13 | |
Aetna
| Professional | $77.06 | $77.69 | $87.46 | |
BCBS
| Facility | $111.58 | $116.53 | $186.20 | |
BCBS
| Professional | $71.06 | $71.06 | $182.96 | |
Cigna
| Facility | $219.14 | $219.14 | $385.23 | |
Cigna
| Professional | $70.59 | $135.53 | $306.97 | |
United
| Professional | $39.79 | $62.63 | $181.64 |