| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $19.05 | |
Aetna
| Professional | $79.43 | $263.03 | $457.09 | |
BCBS
| Facility | $269.15 | $269.15 | $269.15 | |
BCBS
| Professional | $269.15 | $269.15 | $269.15 | |
Cigna
| Facility | $141.25 | $141.25 | $309.03 | |
Cigna
| Professional | $104.71 | $104.71 | $245.47 | |
United
| Facility | $93.33 | $120.23 | $223.87 | |
United
| Professional | $114.82 | $123.03 | $190.55 |