| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $154.88 | $676.08 | |
Aetna
| Professional | $81.28 | $107.15 | $363.08 | |
BCBS
| Facility | $77.62 | $104.71 | $380.19 | |
BCBS
| Professional | $93.33 | $107.15 | $229.09 | |
Cigna
| Facility | $107.15 | $107.15 | $776.25 | |
Cigna
| Professional | $77.62 | $77.62 | $275.42 | |
United
| Facility | $64.57 | $102.33 | $234.42 | |
United
| Professional | $66.07 | $93.33 | $147.91 |