| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.76 | $147.83 | $194.23 | |
Aetna
| Professional | $124.00 | $155.90 | $331.57 | |
BCBS
| Facility | $168.22 | $168.22 | $418.49 | |
BCBS
| Professional | $114.39 | $168.22 | $272.97 | |
Cigna
| Facility | $157.57 | $157.57 | $157.57 | |
Cigna
| Professional | $132.00 | $197.29 | $328.45 | |
United
| Facility | $31.00 | $31.00 | $31.00 | |
United
| Professional | $143.65 | $191.93 | $316.20 |