| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.62 | $181.97 | $549.54 | |
Aetna
| Professional | $23.44 | $40.74 | $112.20 | |
BCBS
| Facility | $19.50 | $24.55 | $112.20 | |
BCBS
| Professional | $20.89 | $37.15 | $75.86 | |
Cigna
| Facility | $39.81 | $141.25 | $251.19 | |
Cigna
| Facility | AS | $3.98 | $3.98 | $3.98 |
Cigna
| Professional | $17.78 | $35.48 | $95.50 | |
United
| Facility | $251.19 | $501.19 | $870.96 | |
United
| Professional | $21.38 | $32.36 | $50.12 |