| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $120.23 | $165.96 | |
Aetna
| Professional | $19.95 | $34.67 | $39.81 | |
BCBS
| Professional | $53.70 | $67.61 | $138.04 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Facility | $43.65 | $43.65 | $43.65 | |
United
| Professional | $18.20 | $18.20 | $43.65 |