| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.45 | $130.81 | $130.81 | |
Aetna
| Professional | $41.58 | $53.58 | $77.50 | |
BCBS
| Facility | $59.40 | $76.95 | $88.53 | |
BCBS
| Professional | $49.01 | $49.01 | $116.78 | |
Cigna
| Facility | $104.19 | $104.19 | $183.16 | |
Cigna
| Professional | $33.56 | $86.68 | $177.36 | |
United
| Professional | $27.44 | $39.20 | $86.36 |