| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.25 | $201.25 | $201.25 | |
Aetna
| Professional | $28.70 | $28.86 | $28.86 | |
BCBS
| Facility | $35.00 | $41.22 | $44.80 | |
BCBS
| Professional | $26.25 | $26.25 | $200.39 | |
Cigna
| Facility | $92.90 | $169.83 | $298.56 | |
Cigna
| Professional | $19.57 | $46.45 | $94.53 | |
United
| Professional | $14.70 | $21.00 | $50.48 |