| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $194.98 | $371.54 | |
Aetna
| Professional | $141.25 | $199.53 | $467.74 | |
BCBS
| Facility | $144.54 | $177.83 | $199.53 | |
BCBS
| Professional | $131.83 | $173.78 | $331.13 | |
Cigna
| Facility | $194.98 | $263.03 | $295.12 | |
Cigna
| Professional | $177.83 | $251.19 | $416.87 | |
United
| Facility | $125.89 | $169.82 | $239.88 | |
United
| Professional | $162.18 | $229.09 | $380.19 |