| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.61 | $82.71 | $95.68 | |
Aetna
| Professional | $65.64 | $79.54 | $103.63 | |
BCBS
| Facility | $120.00 | $120.00 | $120.00 | |
BCBS
| Professional | $59.90 | $82.99 | $111.21 | |
Cigna
| Facility | $116.71 | $116.71 | $116.71 | |
Cigna
| Professional | $40.00 | $79.73 | $156.96 | |
United
| Facility | $98.01 | $98.01 | $98.01 | |
United
| Professional | $75.09 | $104.00 | $180.54 |