| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.45 | $94.15 | $104.44 | |
Aetna
| Professional | $40.65 | $94.15 | $104.44 | |
BCBS
| Facility | $136.13 | $136.13 | $136.13 | |
BCBS
| Professional | $136.13 | $136.13 | $136.13 | |
Cigna
| Facility | $33.44 | $39.02 | $126.87 | |
Cigna
| Professional | $22.09 | $23.41 | $88.35 | |
United
| Professional | $21.61 | $30.87 | $87.47 |