| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $61.66 | $100.00 | $128.82 | |
BCBS
| Facility | $158.49 | $245.47 | $295.12 | |
BCBS
| Professional | $52.48 | $102.33 | $173.78 | |
Cigna
| Facility | $218.78 | $323.59 | $467.74 | |
Cigna
| Professional | $57.54 | $57.54 | $181.97 | |
United
| Facility | $95.50 | $123.03 | $194.98 | |
United
| Professional | $40.74 | $60.26 | $89.13 |