| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.32 | $256.19 | $595.12 | |
Aetna
| Professional | $37.15 | $39.06 | $81.22 | |
BCBS
| Facility | $77.31 | $77.31 | $92.78 | |
BCBS
| Professional | $59.54 | $74.00 | $152.00 | |
Cigna
| Facility | $95.61 | $95.61 | $95.61 | |
Cigna
| Professional | $28.39 | $54.52 | $68.15 | |
United
| Professional | $20.00 | $27.50 | $66.54 |