| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $288.40 | $602.56 | |
Aetna
| Professional | $141.25 | $141.25 | $363.08 | |
BCBS
| Facility | $109.65 | $223.87 | $691.83 | |
BCBS
| Professional | $57.54 | $69.18 | $194.98 | |
Cigna
| Facility | $93.33 | $229.09 | $549.54 | |
Cigna
| Professional | $74.13 | $162.18 | $338.84 | |
United
| Facility | $85.11 | $141.25 | $169.82 | |
United
| Professional | $85.11 | $120.23 | $190.55 |