| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.45 | $130.81 | $130.81 | |
Aetna
| Professional | $41.58 | $44.07 | $56.21 | |
BCBS
| Facility | $59.40 | $80.73 | $88.53 | |
BCBS
| Professional | $51.41 | $51.41 | $83.28 | |
Cigna
| Facility | $104.19 | $104.19 | $183.16 | |
Cigna
| Professional | $33.56 | $90.99 | $185.16 | |
United
| Professional | $28.79 | $41.13 | $86.36 |