| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $117.49 | $239.88 | |
Aetna
| Professional | $74.13 | $125.89 | $281.84 | |
BCBS
| Facility | $77.62 | $97.72 | $107.15 | |
BCBS
| Professional | $75.86 | $107.15 | $177.83 | |
Cigna
| Facility | $128.82 | $128.82 | $407.38 | |
Cigna
| Professional | $79.43 | $120.23 | $234.42 | |
United
| Facility | $57.54 | $83.18 | $112.20 | |
United
| Professional | $72.44 | $107.15 | $186.21 |