| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.04 | $55.04 | $55.04 | |
Aetna
| Professional | $19.05 | $42.87 | $55.04 | |
BCBS
| Facility | $15.40 | $71.81 | $87.17 | |
BCBS
| Professional | $10.19 | $14.11 | $14.11 | |
Cigna
| Professional | $15.53 | $15.53 | $19.53 | |
United
| Professional | $13.80 | $19.16 | $51.69 |