| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $95.50 | $95.50 | |
Aetna
| Professional | $51.29 | $91.20 | $102.33 | |
BCBS
| Facility | $117.49 | $218.78 | $263.03 | |
BCBS
| Professional | $45.71 | $77.62 | $151.36 | |
Cigna
| Facility | $194.98 | $302.00 | $426.58 | |
Cigna
| Professional | $51.29 | $51.29 | $165.96 | |
United
| Facility | $85.11 | $109.65 | $173.78 | |
United
| Professional | $36.31 | $53.70 | $77.62 |