| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $107.15 | $275.42 | |
Aetna
| Professional | $25.70 | $51.29 | $77.62 | |
BCBS
| Facility | $52.48 | $83.18 | $275.42 | |
BCBS
| Professional | $25.70 | $34.67 | $83.18 | |
Cigna
| Facility | $38.02 | $112.20 | $251.19 | |
Cigna
| Professional | $21.38 | $75.86 | $154.88 | |
United
| Facility | $22.91 | $64.57 | $77.62 | |
United
| Professional | $16.98 | $26.92 | $64.57 |