| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $169.82 | $331.13 | |
Aetna
| Professional | $128.82 | $169.82 | $263.03 | |
BCBS
| Facility | $131.83 | $181.97 | $707.95 | |
BCBS
| Professional | $162.18 | $177.83 | $371.54 | |
Cigna
| Facility | $181.97 | $181.97 | $1,318.26 | |
Cigna
| Professional | $131.83 | $131.83 | $467.74 | |
United
| Facility | $109.65 | $190.55 | $398.11 | |
United
| Professional | $114.82 | $151.36 | $257.04 |