| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $107.15 | $117.49 | |
Aetna
| Professional | $42.66 | $46.77 | $107.15 | |
BCBS
| Facility | $117.49 | $117.49 | $117.49 | |
BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
Cigna
| Facility | $38.02 | $43.65 | $79.43 | |
Cigna
| Professional | $25.12 | $26.92 | $100.00 | |
United
| Facility | $52.48 | $52.48 | $70.79 | |
United
| Professional | $24.55 | $35.48 | $131.83 |