| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.34 | $119.57 | $132.63 | |
Aetna
| Professional | $51.62 | $119.57 | $132.63 | |
BCBS
| Facility | $69.84 | $69.84 | $69.84 | |
BCBS
| Professional | $69.84 | $69.84 | $69.84 | |
Cigna
| Facility | $42.47 | $48.38 | $88.83 | |
Cigna
| Professional | $27.96 | $50.32 | $82.10 | |
United
| Facility | $65.34 | $65.34 | $65.34 | |
United
| Professional | $27.44 | $35.68 | $101.24 |