| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $97.72 | $302.00 | |
Aetna
| Professional | $66.07 | $97.72 | $173.78 | |
BCBS
| Facility | $79.43 | $107.15 | $380.19 | |
BCBS
| Professional | $93.33 | $109.65 | $229.09 | |
Cigna
| Facility | $107.15 | $107.15 | $724.44 | |
Cigna
| Professional | $77.62 | $77.62 | $281.84 | |
United
| Facility | $66.07 | $102.33 | $234.42 | |
United
| Professional | $67.61 | $93.33 | $147.91 |