| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.89 | $120.21 | $133.35 | |
Aetna
| Professional | $51.90 | $120.21 | $133.35 | |
BCBS
| Facility | $65.69 | $65.69 | $65.69 | |
BCBS
| Professional | $65.69 | $65.69 | $65.69 | |
Cigna
| Facility | $42.70 | $49.83 | $100.14 | |
Cigna
| Professional | $28.11 | $52.15 | $112.45 | |
United
| Professional | $27.59 | $39.40 | $100.70 |