| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.31 | $71.94 | $79.80 | |
Aetna
| Professional | $31.05 | $71.94 | $79.80 | |
BCBS
| Facility | $84.04 | $84.04 | $84.04 | |
BCBS
| Professional | $84.04 | $84.04 | $84.04 | |
Cigna
| Facility | $25.55 | $29.82 | $71.41 | |
Cigna
| Professional | $16.84 | $17.89 | $67.34 | |
United
| Professional | $16.51 | $23.59 | $58.97 |