| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $199.53 | $446.68 | |
Aetna
| Professional | $36.31 | $74.13 | $169.82 | |
BCBS
| Facility | $70.79 | $70.79 | $70.79 | |
BCBS
| Professional | $70.79 | $70.79 | $70.79 | |
Cigna
| Facility | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Facility | $85.11 | $85.11 | $85.11 | |
United
| Professional | $36.31 | $51.29 | $123.03 |