| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $107.15 | $213.80 | |
Aetna
| Professional | $85.11 | $107.15 | $181.97 | |
BCBS
| Facility | $85.11 | $117.49 | $416.87 | |
BCBS
| Professional | $102.33 | $114.82 | $251.19 | |
Cigna
| Facility | $147.91 | $147.91 | $776.25 | |
Cigna
| Professional | $107.15 | $107.15 | $302.00 | |
United
| Facility | $72.44 | $109.65 | $257.04 | |
United
| Professional | $72.44 | $102.33 | $162.18 |