| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.64 | $114.43 | $228.86 | |
Aetna
| Professional | $98.64 | $98.64 | $98.64 | |
BCBS
| Facility | $13.96 | $16.94 | $22.79 | |
BCBS
| Professional | $49.36 | $59.96 | $74.25 | |
Cigna
| Facility | $60.71 | $72.48 | $247.69 | |
Cigna
| Professional | $55.75 | $164.68 | $2,203.85 | |
United
| Professional | $36.02 | $48.06 | $119.13 |