| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $204.17 | |
Aetna
| Professional | $104.71 | $138.04 | $208.93 | |
BCBS
| Facility | $177.83 | $177.83 | $177.83 | |
BCBS
| Professional | $177.83 | $177.83 | $177.83 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $120.23 | $120.23 | $165.96 | |
United
| Facility | $77.62 | $186.21 | $316.23 | |
United
| Professional | $77.62 | $109.65 | $173.78 |