| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $83.18 | $147.91 | |
Aetna
| Professional | $56.23 | $81.28 | $131.83 | |
BCBS
| Facility | $112.20 | $147.91 | $363.08 | |
BCBS
| Professional | $100.00 | $114.82 | $190.55 | |
Cigna
| Facility | $128.82 | $128.82 | $489.78 | |
Cigna
| Professional | $93.33 | $93.33 | $173.78 | |
United
| Facility | $67.61 | $95.50 | $194.98 | |
United
| Professional | $63.10 | $95.50 | $144.54 |