| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $125.89 | $141.25 | |
Aetna
| Professional | $52.48 | $64.57 | $125.89 | |
BCBS
| Facility | $125.89 | $125.89 | $125.89 | |
BCBS
| Professional | $125.89 | $125.89 | $125.89 | |
Cigna
| Facility | $45.71 | $52.48 | $165.96 | |
Cigna
| Professional | $30.20 | $66.07 | $100.00 | |
United
| Facility | $63.10 | $63.10 | $83.18 | |
United
| Professional | $29.51 | $38.02 | $154.88 |