| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.15 | $125.60 | $175.97 | |
Aetna
| Professional | $66.45 | $125.60 | $125.60 | |
BCBS
| Facility | $108.89 | $108.89 | $108.89 | |
BCBS
| Professional | $81.19 | $119.40 | $119.40 | |
Cigna
| Facility | $71.59 | $92.94 | $204.61 | |
Cigna
| Professional | $47.97 | $109.86 | $137.32 | |
United
| Facility | $62.09 | $62.09 | $119.40 | |
United
| Professional | $40.11 | $57.31 | $88.20 |