| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $131.83 | $169.82 | |
Aetna
| Professional | $75.86 | $93.33 | $131.83 | |
BCBS
| Facility | $151.36 | $177.83 | $239.88 | |
BCBS
| Professional | $72.44 | $74.13 | $89.13 | |
Cigna
| Facility | $72.44 | $93.33 | $245.47 | |
Cigna
| Professional | $67.61 | $131.83 | $165.96 | |
United
| Facility | $47.86 | $102.33 | $114.82 | |
United
| Professional | $47.86 | $47.86 | $114.82 |