| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.10 | $121.20 | $197.34 | |
Aetna
| Professional | $78.84 | $126.14 | $281.76 | |
BCBS
| Facility | $95.13 | $107.26 | $116.05 | |
BCBS
| Professional | $91.29 | $131.51 | $218.13 | |
Cigna
| Facility | $125.60 | $125.60 | $125.60 | |
Cigna
| Professional | $91.33 | $143.21 | $244.14 | |
United
| Facility | $148.16 | $148.16 | $148.16 | |
United
| Professional | $113.75 | $142.62 | $243.54 |