| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.03 | $226.03 | $226.03 | |
Aetna
| Professional | $32.22 | $66.48 | $66.48 | |
BCBS
| Facility | $39.31 | $46.30 | $50.32 | |
BCBS
| Professional | $29.48 | $29.48 | $200.39 | |
Cigna
| Facility | $64.18 | $64.18 | $112.83 | |
Cigna
| Professional | $31.12 | $52.20 | $106.22 | |
United
| Professional | $16.51 | $23.59 | $56.70 |