| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $112.20 | $141.25 | |
BCBS
| Facility | $194.98 | $194.98 | $194.98 | |
BCBS
| Professional | $15.85 | $15.85 | $15.85 | |
Cigna
| Facility | $64.57 | $64.57 | $141.25 | |
Cigna
| Professional | $13.49 | $54.95 | $64.57 | |
United
| Facility | $8.91 | $72.44 | $117.49 | |
United
| Professional | $47.86 | $97.72 | $165.96 |