| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.16 | $241.96 | $549.24 | |
Aetna
| Professional | $78.33 | $78.33 | $82.13 | |
BCBS
| Facility | $109.87 | $112.50 | $122.27 | |
BCBS
| Professional | $71.64 | $71.64 | $123.69 | |
Cigna
| Facility | $192.72 | $253.52 | $338.78 | |
Cigna
| Professional | $58.34 | $109.86 | $137.32 | |
United
| Professional | $33.43 | $66.59 | $159.72 |