| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.33 | $144.33 | $144.33 | |
Aetna
| Professional | $19.50 | $20.58 | $20.61 | |
BCBS
| Facility | $26.60 | $29.56 | $30.87 | |
BCBS
| Professional | $33.26 | $33.26 | $33.26 | |
Cigna
| Facility | $73.92 | $73.92 | $73.92 | |
Cigna
| Professional | $16.29 | $16.29 | $16.29 | |
United
| Professional | $10.54 | $15.06 | $33.01 |