| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.52 | $112.58 | $124.89 | |
Aetna
| Professional | $48.60 | $112.58 | $124.89 | |
BCBS
| Facility | $107.21 | $107.21 | $107.21 | |
BCBS
| Professional | $107.21 | $107.21 | $107.21 | |
Cigna
| Facility | $39.99 | $46.67 | $96.67 | |
Cigna
| Professional | $26.26 | $28.04 | $105.04 | |
United
| Professional | $25.84 | $36.90 | $104.58 |