| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.00 | $61.00 | $61.00 | |
Aetna
| Professional | $30.00 | $48.00 | $61.00 | |
BCBS
| Facility | $31.91 | $38.49 | $51.96 | |
BCBS
| Professional | $260.00 | $260.00 | $260.00 | |
Cigna
| Professional | $126.00 | $189.00 | $272.45 | |
United
| Professional | $40.00 | $50.00 | $67.00 |