| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $134.90 | $380.19 | |
Aetna
| Professional | $91.20 | $147.91 | $407.38 | |
BCBS
| Facility | $112.20 | $151.36 | $549.54 | |
BCBS
| Professional | $134.90 | $151.36 | $323.59 | |
Cigna
| Facility | $134.90 | $134.90 | $1,047.13 | |
Cigna
| Professional | $97.72 | $97.72 | $398.11 | |
United
| Facility | $93.33 | $144.54 | $331.13 | |
United
| Professional | $93.33 | $134.90 | $213.80 |