| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $131.83 | $229.09 | |
Aetna
| Professional | $102.33 | $131.83 | $194.98 | |
Aetna
| Professional | 25 | $30.20 | $125.89 | $208.93 |
BCBS
| Facility | $134.90 | $169.82 | $426.58 | |
BCBS
| Professional | $81.28 | $141.25 | $275.42 | |
Cigna
| Facility | $239.88 | $537.03 | $1,348.96 | |
Cigna
| Professional | $134.90 | $281.84 | $630.96 | |
United
| Facility | $97.72 | $114.82 | $151.36 | |
United
| Professional | $109.65 | $151.36 | $288.40 |