| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $58.92 | |
Aetna
| Professional | $20.32 | $32.84 | $42.66 | |
BCBS
| Facility | $38.60 | $38.60 | $38.60 | |
BCBS
| Professional | $50.79 | $50.79 | $50.79 | |
Cigna
| Facility | $22.01 | $25.53 | $50.62 | |
United
| Facility | $30.47 | $30.47 | $30.47 | |
United
| Professional | $14.22 | $20.32 | $33.86 |