| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $257.04 | $602.56 | |
Aetna
| Professional | $93.33 | $114.82 | $263.03 | |
BCBS
| Facility | $141.25 | $194.98 | $660.69 | |
BCBS
| Professional | $57.54 | $70.79 | $229.09 | |
Cigna
| Facility | $93.33 | $275.42 | $630.96 | |
Cigna
| Professional | $67.61 | $165.96 | $338.84 | |
United
| Facility | $85.11 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $85.11 | $186.21 |