| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $269.15 | $269.15 | |
Aetna
| Professional | $41.69 | $46.77 | $50.12 | |
BCBS
| Facility | $42.66 | $42.66 | $42.66 | |
BCBS
| Professional | $42.66 | $42.66 | $42.66 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $42.66 | $48.98 | $60.26 | |
United
| Facility | $51.29 | $51.29 | $51.29 | |
United
| Professional | $18.62 | $26.30 | $63.10 |