| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $199.53 | $263.03 | |
Aetna
| Professional | $104.71 | $147.91 | $199.53 | |
BCBS
| Facility | $162.18 | $194.98 | $263.03 | |
BCBS
| Professional | $30.90 | $44.67 | $112.20 | |
Cigna
| Facility | $114.82 | $141.25 | $380.19 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Facility | $74.13 | $158.49 | $173.78 | |
United
| Professional | $74.13 | $74.13 | $104.71 |