| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $77.62 | $138.04 | |
Aetna
| Professional | $52.48 | $69.18 | $97.72 | |
BCBS
| Facility | $77.62 | $77.62 | $77.62 | |
BCBS
| Professional | $67.61 | $87.10 | $158.49 | |
Cigna
| Facility | $77.62 | $102.33 | $165.96 | |
Cigna
| Professional | $66.07 | $112.20 | $199.53 | |
United
| Facility | $46.77 | $79.43 | $81.28 | |
United
| Professional | $63.10 | $87.10 | $154.88 |