| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $239.88 | $616.60 | |
Aetna
| Professional | $64.57 | $112.20 | $323.59 | |
BCBS
| Facility | $114.82 | $173.78 | $616.60 | |
BCBS
| Professional | $46.77 | $54.95 | $199.53 | |
Cigna
| Facility | $89.13 | $263.03 | $575.44 | |
Cigna
| Professional | $66.07 | $165.96 | $331.13 | |
United
| Facility | $81.28 | $138.04 | $165.96 | |
United
| Professional | $57.54 | $81.28 | $165.96 |