| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.49 | $107.04 | $118.73 | |
Aetna
| Professional | $46.21 | $107.04 | $118.73 | |
BCBS
| Facility | $117.56 | $117.56 | $117.56 | |
BCBS
| Professional | $117.56 | $117.56 | $117.56 | |
Cigna
| Facility | $38.02 | $43.27 | $79.45 | |
Cigna
| Professional | $25.02 | $26.69 | $100.09 | |
United
| Professional | $24.57 | $35.09 | $87.74 |