| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $43.65 | |
Aetna
| Professional | $43.12 | $43.65 | $43.65 | |
BCBS
| Facility | $74.84 | $74.84 | $89.82 | |
BCBS
| Professional | $54.56 | $68.00 | $140.00 | |
Cigna
| Facility | $87.23 | $87.23 | $87.23 | |
Cigna
| Professional | $70.84 | $70.84 | $103.97 | |
United
| Professional | $18.32 | $25.01 | $59.55 |