| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.63 | $285.26 | $534.03 | |
Aetna
| Professional | $142.62 | $142.63 | $213.94 | |
BCBS
| Facility | $86.88 | $260.87 | $641.84 | |
BCBS
| Professional | $57.05 | $68.52 | $142.63 | |
Cigna
| Facility | $121.91 | $200.81 | $394.02 | |
Cigna
| Professional | $74.31 | $142.63 | $260.05 | |
United
| Facility | $135.47 | $135.47 | $171.12 | |
United
| Professional | $89.70 | $134.49 | $191.98 |