| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $177.83 | $489.78 | |
Aetna
| Professional | $125.89 | $158.49 | $309.03 | |
BCBS
| Facility | $120.23 | $165.96 | $588.84 | |
BCBS
| Professional | $144.54 | $158.49 | $346.74 | |
Cigna
| Facility | $177.83 | $177.83 | $1,230.27 | |
Cigna
| Professional | $128.82 | $128.82 | $426.58 | |
United
| Facility | $100.00 | $169.82 | $363.08 | |
United
| Professional | $102.33 | $144.54 | $229.09 |