| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $79.43 | $79.43 | |
Aetna
| Professional | $42.66 | $79.43 | $107.15 | |
BCBS
| Facility | $102.33 | $181.97 | $223.87 | |
BCBS
| Professional | $41.69 | $66.07 | $131.83 | |
Cigna
| Facility | $39.81 | $173.78 | $354.81 | |
Cigna
| Professional | $45.71 | $45.71 | $138.04 | |
United
| Facility | $77.62 | $97.72 | $158.49 | |
United
| Professional | $32.36 | $47.86 | $70.79 |