| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.70 | $219.06 | $504.16 | |
Aetna
| Professional | $65.00 | $112.34 | $326.58 | |
BCBS
| Facility | $137.00 | $147.96 | $473.61 | |
BCBS
| Professional | $50.00 | $54.80 | $136.73 | |
Cigna
| Facility | $109.36 | $238.65 | $414.75 | |
Cigna
| Professional | $68.38 | $144.71 | $250.42 | |
United
| Facility | $123.30 | $123.30 | $123.30 | |
United
| Professional | $57.54 | $82.20 | $164.40 |