| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.29 | $207.39 | $470.81 | |
Aetna
| Professional | $67.14 | $67.14 | $70.40 | |
BCBS
| Facility | $94.18 | $96.44 | $104.81 | |
BCBS
| Professional | $61.41 | $61.41 | $106.03 | |
Cigna
| Facility | $165.17 | $217.32 | $290.36 | |
Cigna
| Professional | $50.11 | $94.16 | $117.71 | |
United
| Professional | $28.66 | $57.08 | $136.91 |