| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $74.13 | $169.82 | |
Aetna
| Professional | $69.18 | $70.79 | $131.83 | |
BCBS
| Facility | $74.13 | $95.50 | $186.21 | |
BCBS
| Professional | $69.18 | $69.18 | $97.72 | |
Cigna
| Facility | $75.86 | $75.86 | $190.55 | |
Cigna
| Professional | $75.86 | $79.43 | $100.00 | |
United
| Facility | $69.18 | $74.13 | $74.13 | |
United
| Professional | $77.62 | $81.28 | $93.33 |