| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $131.83 | $158.49 | |
Aetna
| Professional | $97.72 | $128.82 | $177.83 | |
BCBS
| Facility | $14.45 | $14.45 | $363.08 | |
BCBS
| Professional | $134.90 | $169.82 | $281.84 | |
Cigna
| Facility | $123.03 | $123.03 | $223.87 | |
Cigna
| Professional | $104.71 | $123.03 | $275.42 | |
United
| Facility | $10.96 | $93.33 | $158.49 | |
United
| Professional | $79.43 | $131.83 | $223.87 |