| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $114.82 | $158.49 | |
Aetna
| Professional | $93.33 | $107.15 | $138.04 | |
BCBS
| Facility | $123.03 | $154.88 | $389.05 | |
BCBS
| Professional | $104.71 | $128.82 | $245.47 | |
Cigna
| Facility | $186.21 | $389.05 | $1,071.52 | |
Cigna
| Professional | $107.15 | $107.15 | $169.82 | |
United
| Facility | $125.89 | $138.04 | $194.98 | |
United
| Professional | $107.15 | $151.36 | $251.19 |