| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.25 | $86.47 | $95.92 | |
Aetna
| Professional | $37.33 | $86.47 | $95.92 | |
BCBS
| Facility | $195.53 | $195.53 | $195.53 | |
BCBS
| Professional | $195.53 | $195.53 | $195.53 | |
Cigna
| Facility | $30.71 | $35.84 | $108.59 | |
Cigna
| Professional | $20.23 | $21.47 | $80.94 | |
United
| Professional | $19.85 | $28.35 | $70.88 |