| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $223.87 | $251.19 | |
Aetna
| Professional | $91.20 | $100.00 | $251.19 | |
BCBS
| Facility | $181.97 | $181.97 | $181.97 | |
BCBS
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Facility | $81.28 | $93.33 | $251.19 | |
Cigna
| Professional | $56.23 | $128.82 | $239.88 | |
United
| Facility | $112.20 | $123.03 | $169.82 | |
United
| Professional | $52.48 | $85.11 | $380.19 |