| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $63.10 | $114.82 | |
Aetna
| Professional | $30.20 | $46.77 | $79.43 | |
Aetna
| Professional | 25 | $42.66 | $57.54 | $107.15 |
BCBS
| Facility | $61.66 | $77.62 | $194.98 | |
BCBS
| Professional | $30.20 | $52.48 | $102.33 | |
Cigna
| Facility | $75.86 | $204.17 | $549.54 | |
Cigna
| Professional | $36.31 | $60.26 | $144.54 | |
United
| Facility | $30.20 | $66.07 | $316.23 | |
United
| Professional | $30.20 | $44.67 | $81.28 |