| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.55 | $125.45 | $139.16 | |
Aetna
| Professional | $54.15 | $125.45 | $139.16 | |
BCBS
| Facility | $89.12 | $89.12 | $89.12 | |
BCBS
| Professional | $89.12 | $89.12 | $89.12 | |
Cigna
| Facility | $44.56 | $48.38 | $88.83 | |
Cigna
| Professional | $29.35 | $52.83 | $117.39 | |
United
| Professional | $28.79 | $35.68 | $117.01 |