| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $112.20 | $457.09 | |
Aetna
| Professional | $85.11 | $107.15 | $218.78 | |
BCBS
| Facility | $83.18 | $112.20 | $398.11 | |
BCBS
| Professional | $97.72 | $112.20 | $239.88 | |
Cigna
| Facility | $112.20 | $112.20 | $758.58 | |
Cigna
| Professional | $83.18 | $83.18 | $295.12 | |
United
| Facility | $69.18 | $104.71 | $245.47 | |
United
| Professional | $69.18 | $97.72 | $158.49 |