| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.70 | $122.06 | $135.40 | |
Aetna
| Professional | $52.69 | $73.37 | $128.06 | |
BCBS
| Facility | $113.95 | $113.95 | $113.95 | |
BCBS
| Professional | $113.95 | $113.95 | $113.95 | |
Cigna
| Facility | $43.36 | $69.05 | $131.38 | |
Cigna
| Professional | $30.42 | $43.27 | $95.51 | |
United
| Professional | $28.01 | $40.02 | $126.52 |