| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.88 | $169.76 | $237.86 | |
Aetna
| Professional | $89.82 | $105.86 | $169.76 | |
BCBS
| Facility | $124.41 | $124.41 | $124.41 | |
BCBS
| Professional | $103.07 | $151.58 | $151.58 | |
Cigna
| Facility | $82.28 | $125.62 | $276.58 | |
Cigna
| Professional | $71.36 | $121.43 | $182.29 | |
United
| Professional | $45.83 | $74.26 | $148.88 |