| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $323.59 | $323.59 | |
Aetna
| Professional | $50.12 | $52.48 | $58.88 | |
BCBS
| Facility | $64.57 | $83.18 | $93.33 | |
BCBS
| Professional | $34.67 | $40.74 | $79.43 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $35.48 | $42.66 | $104.71 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $30.20 | $43.65 | $104.71 |