| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $173.78 | |
Aetna
| Professional | $85.11 | $114.82 | $173.78 | |
BCBS
| Facility | $147.91 | $147.91 | $147.91 | |
BCBS
| Professional | $151.36 | $151.36 | $151.36 | |
Cigna
| Facility | $138.04 | $138.04 | $204.17 | |
Cigna
| Professional | $100.00 | $100.00 | $181.97 | |
United
| Facility | $64.57 | $154.88 | $263.03 | |
United
| Professional | $64.57 | $91.20 | $144.54 |