| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $112.20 | $112.20 | |
Aetna
| Professional | $15.85 | $16.98 | $19.95 | |
BCBS
| Facility | $1.00 | $53.70 | $58.88 | |
BCBS
| Professional | $1.07 | $33.11 | $33.11 | |
Cigna
| Facility | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $10.47 | $15.14 | $36.31 |