| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.52 | $174.80 | $193.91 | |
Aetna
| Professional | $75.45 | $105.07 | $183.40 | |
BCBS
| Facility | $190.51 | $190.51 | $190.51 | |
BCBS
| Professional | $190.51 | $190.51 | $190.51 | |
Cigna
| Facility | $62.09 | $83.12 | $164.32 | |
Cigna
| Professional | $43.55 | $64.40 | $137.32 | |
United
| Facility | $47.76 | $47.76 | $95.52 | |
United
| Professional | $40.11 | $55.50 | $158.72 |