| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $100.00 | $181.97 | |
Aetna
| Professional | $57.54 | $60.26 | $72.44 | |
BCBS
| Facility | $64.57 | $93.33 | $158.49 | |
BCBS
| Professional | $57.54 | $74.13 | $138.04 | |
Cigna
| Facility | $61.66 | $61.66 | $263.03 | |
Cigna
| Professional | $61.66 | $61.66 | $104.71 | |
United
| Facility | $123.03 | $223.87 | $489.78 | |
United
| Professional | $60.26 | $60.26 | $66.07 |