| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $151.36 | |
Aetna
| Professional | $63.10 | $81.28 | $123.03 | |
BCBS
| Facility | $169.82 | $288.40 | $407.38 | |
BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $93.33 | $93.33 | $128.82 | |
United
| Facility | $67.61 | $102.33 | $194.98 | |
United
| Professional | $57.54 | $93.33 | $138.04 |