| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.59 | $90.75 | $100.67 | |
Aetna
| Professional | $39.18 | $90.75 | $100.67 | |
BCBS
| Facility | $56.92 | $56.92 | $56.92 | |
BCBS
| Professional | $56.92 | $56.92 | $56.92 | |
Cigna
| Facility | $32.22 | $37.61 | $100.92 | |
Cigna
| Professional | $22.52 | $51.99 | $94.53 | |
United
| Facility | $44.63 | $44.63 | $49.59 | |
United
| Professional | $20.83 | $33.83 | $99.18 |