| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.15 | $98.16 | $117.79 | |
Aetna
| Professional | $83.49 | $98.16 | $117.79 | |
BCBS
| Facility | $94.99 | $156.79 | $311.07 | |
BCBS
| Professional | $87.95 | $87.95 | $98.99 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
United
| Facility | $83.49 | $83.49 | $83.49 | |
United
| Professional | $98.16 | $103.33 | $117.79 |