| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $107.15 | $269.15 | |
Aetna
| Professional | $75.86 | $97.72 | $144.54 | |
BCBS
| Facility | $70.79 | $128.82 | $269.15 | |
BCBS
| Professional | $75.86 | $89.13 | $120.23 | |
Cigna
| Facility | $95.50 | $95.50 | $204.17 | |
Cigna
| Professional | $95.50 | $100.00 | $125.89 | |
United
| Facility | $83.18 | $93.33 | $162.18 | |
United
| Professional | $87.10 | $100.00 | $104.71 |