| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.45 | $133.40 | $154.47 | |
Aetna
| Professional | $98.59 | $124.40 | $164.87 | |
BCBS
| Facility | $116.60 | $116.60 | $116.60 | |
BCBS
| Professional | $101.88 | $134.57 | $203.76 | |
Cigna
| Facility | $197.86 | $197.86 | $197.86 | |
Cigna
| Professional | $103.00 | $149.44 | $271.75 | |
United
| Facility | $142.41 | $142.41 | $142.41 | |
United
| Professional | $109.31 | $153.72 | $287.55 |