| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $102.33 | $204.17 | |
Aetna
| Professional | $83.18 | $102.33 | $169.82 | |
BCBS
| Facility | $100.00 | $134.90 | $398.11 | |
BCBS
| Professional | $104.71 | $120.23 | $245.47 | |
Cigna
| Facility | $120.23 | $120.23 | $758.58 | |
Cigna
| Professional | $87.10 | $87.10 | $288.40 | |
United
| Facility | $102.33 | $154.88 | $239.88 | |
United
| Professional | $74.13 | $100.00 | $158.49 |