| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $91.20 | |
Aetna
| Professional | $45.71 | $87.10 | $114.82 | |
BCBS
| Facility | $141.25 | $194.98 | $229.09 | |
BCBS
| Professional | $46.77 | $91.20 | $158.49 | |
Cigna
| Facility | $186.21 | $281.84 | $398.11 | |
Cigna
| Professional | $48.98 | $48.98 | $158.49 | |
United
| Facility | $81.28 | $104.71 | $165.96 | |
United
| Professional | $36.31 | $52.48 | $77.62 |