| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $229.09 | |
Aetna
| Professional | $128.82 | $138.04 | $162.18 | |
BCBS
| Facility | $151.36 | $151.36 | $151.36 | |
BCBS
| Professional | $151.36 | $151.36 | $154.88 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Facility | $91.20 | $112.20 | $128.82 | |
United
| Professional | $331.13 | $331.13 | $354.81 |