| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $165.96 | $208.93 | |
Aetna
| Professional | $123.03 | $162.18 | $204.17 | |
BCBS
| Facility | $208.93 | $263.03 | $660.69 | |
BCBS
| Professional | $141.25 | $186.21 | $331.13 | |
Cigna
| Facility | $245.47 | $512.86 | $1,412.54 | |
Cigna
| Professional | $141.25 | $141.25 | $223.87 | |
United
| Facility | $165.96 | $181.97 | $257.04 | |
United
| Professional | $151.36 | $208.93 | $354.81 |