| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $93.33 | $758.58 | |
Aetna
| Professional | $25.70 | $45.71 | $100.00 | |
BCBS
| Facility | $20.89 | $26.92 | $120.23 | |
BCBS
| Professional | $22.91 | $41.69 | $89.13 | |
Cigna
| Facility | $43.65 | $162.18 | $1,174.90 | |
Cigna
| Facility | AS | $4.37 | $4.37 | $4.37 |
Cigna
| Professional | $19.05 | $40.74 | $112.20 | |
United
| Facility | $512.86 | $1,023.29 | $1,778.28 | |
United
| Professional | $23.44 | $36.31 | $56.23 |