| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $67.61 | $169.82 | |
Aetna
| Professional | $26.92 | $35.48 | $93.33 | |
BCBS
| Facility | $35.48 | $51.29 | $181.97 | |
BCBS
| Professional | $15.85 | $25.70 | $93.33 | |
Cigna
| Facility | $25.70 | $75.86 | $165.96 | |
Cigna
| Professional | $19.95 | $48.98 | $95.50 | |
United
| Facility | $23.44 | $38.90 | $46.77 | |
United
| Professional | $16.60 | $23.44 | $46.77 |