| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.49 | $126.51 | $177.97 | |
Aetna
| Professional | $88.98 | $110.56 | $148.84 | |
BCBS
| Facility | $110.68 | $110.68 | $110.68 | |
BCBS
| Professional | $90.28 | $121.36 | $196.49 | |
Cigna
| Facility | $180.92 | $180.92 | $180.92 | |
Cigna
| Professional | $87.12 | $119.00 | $193.45 | |
United
| Facility | $137.82 | $137.82 | $137.82 | |
United
| Professional | $106.01 | $133.52 | $236.61 |