| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $173.78 | |
Aetna
| Professional | $87.10 | $104.71 | $173.78 | |
BCBS
| Facility | $151.36 | $151.36 | $151.36 | |
BCBS
| Professional | $154.88 | $154.88 | $154.88 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $81.28 | $81.28 | $112.20 | |
United
| Facility | $58.88 | $158.49 | $234.42 | |
United
| Professional | $57.54 | $93.33 | $134.90 |