| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.07 | $117.07 | $117.07 | |
Aetna
| Professional | $91.23 | $107.57 | $117.07 | |
BCBS
| Facility | $90.91 | $110.32 | $148.41 | |
BCBS
| Professional | $52.47 | $71.87 | $89.84 | |
Cigna
| Facility | $223.43 | $266.30 | $558.96 | |
Cigna
| Professional | $94.23 | $107.18 | $346.50 | |
United
| Facility | $241.00 | $847.00 | $1,326.00 | |
United
| Professional | $63.49 | $80.55 | $113.71 |