| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $75.86 | $165.96 | |
Aetna
| Professional | $61.66 | $75.86 | $128.82 | |
BCBS
| Facility | $33.88 | $45.71 | $194.98 | |
BCBS
| Professional | $44.67 | $46.77 | $151.36 | |
Cigna
| Facility | $83.18 | $83.18 | $602.56 | |
Cigna
| Professional | $61.66 | $61.66 | $213.80 | |
United
| Facility | $51.29 | $81.28 | $177.83 | |
United
| Professional | $51.29 | $72.44 | $117.49 |