| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $109.65 | $165.96 | |
Aetna
| Professional | $58.88 | $93.33 | $158.49 | |
BCBS
| Facility | $102.33 | $102.33 | $141.25 | |
BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
CareSource
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $60.26 | $75.86 | $85.11 | |
Cigna
| Professional | $57.54 | $87.10 | $131.83 | |
United
| Facility | $87.10 | $97.72 | $97.72 | |
United
| Professional | $69.18 | $77.62 | $112.20 |