| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $208.93 | $234.42 | |
Aetna
| Professional | $85.11 | $107.15 | $208.93 | |
BCBS
| Facility | $114.82 | $114.82 | $114.82 | |
BCBS
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Facility | $74.13 | $77.62 | $87.10 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
United
| Facility | $102.33 | $102.33 | $138.04 | |
United
| Professional | $47.86 | $57.54 | $257.04 |