| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $64.05 | $71.05 | |
Aetna
| Professional | $27.65 | $64.05 | $71.05 | |
BCBS
| Facility | $38.85 | $38.85 | $38.85 | |
BCBS
| Professional | $38.85 | $38.85 | $38.85 | |
Cigna
| Facility | $22.75 | $26.55 | $145.59 | |
Cigna
| Professional | $14.98 | $15.96 | $59.93 | |
United
| Professional | $14.70 | $21.00 | $52.50 |