| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.70 | $194.70 | $194.70 | |
Aetna
| Professional | $23.70 | $25.06 | $27.77 | |
BCBS
| Facility | $35.89 | $39.88 | $41.65 | |
BCBS
| Professional | $44.86 | $44.86 | $44.86 | |
Cigna
| Professional | $27.09 | $27.09 | $27.09 | |
United
| Professional | $14.22 | $20.32 | $48.84 |