| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $53.70 | $53.70 | |
Aetna
| Professional | $26.92 | $51.29 | $61.66 | |
BCBS
| Facility | $63.10 | $141.25 | $169.82 | |
BCBS
| Professional | $27.54 | $41.69 | $95.50 | |
Cigna
| Facility | $112.20 | $165.96 | $239.88 | |
Cigna
| Professional | $29.51 | $29.51 | $93.33 | |
United
| Facility | $50.12 | $64.57 | $102.33 | |
United
| Professional | $20.42 | $30.90 | $50.12 |