| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.90 | $36.65 | $222.89 | |
Aetna
| Professional | $36.65 | $36.65 | $37.60 | |
BCBS
| Professional | $47.00 | $49.35 | $64.86 | |
Cigna
| Facility | $85.42 | $115.78 | $267.98 | |
Medcost
| Facility | $36.65 | $47.00 | $56.40 | |
United
| Professional | $19.73 | $28.20 | $42.80 |