| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $190.55 | $354.81 | |
Aetna
| Professional | $112.20 | $117.49 | $141.25 | |
BCBS
| Facility | $67.61 | $165.96 | $338.84 | |
BCBS
| Professional | $63.10 | $117.49 | $177.83 | |
Cigna
| Facility | $120.23 | $120.23 | $181.97 | |
Cigna
| Professional | $120.23 | $154.88 | $199.53 | |
United
| Facility | $91.20 | $338.84 | $338.84 | |
United
| Professional | $107.15 | $120.23 | $338.84 |