| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $69.18 | $69.18 | |
Aetna
| Professional | $46.77 | $57.54 | $112.20 | |
BCBS
| Facility | $74.13 | $74.13 | $89.13 | |
BCBS
| Professional | $85.11 | $107.15 | $218.78 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $112.20 | $112.20 | $147.91 | |
United
| Facility | $69.18 | $69.18 | $69.18 | |
United
| Professional | $25.12 | $28.84 | $58.88 |