| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $125.89 | $138.04 | |
Aetna
| Professional | $51.29 | $56.23 | $125.89 | |
BCBS
| Facility | $89.13 | $89.13 | $89.13 | |
BCBS
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Facility | $44.67 | $47.86 | $89.13 | |
Cigna
| Professional | $29.51 | $52.48 | $117.49 | |
United
| Facility | $53.70 | $61.66 | $70.79 | |
United
| Professional | $28.84 | $35.48 | $131.83 |