| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $52.24 | $161.36 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
BCBS
| Facility | $92.30 | $92.30 | $138.44 | |
BCBS
| Professional | $3.93 | $132.26 | $309.92 | |
Cigna
| Facility | $33.43 | $33.43 | $33.43 | |
Cigna
| Professional | $27.26 | $42.13 | $73.88 | |
United
| Professional | $16.85 | $23.14 | $63.20 |