| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.59 | $49.59 | $49.59 | |
Aetna
| Professional | $49.00 | $49.59 | $49.59 | |
BCBS
| Facility | $85.03 | $85.03 | $102.03 | |
BCBS
| Professional | $61.99 | $77.00 | $159.00 | |
Cigna
| Facility | $99.10 | $99.10 | $99.10 | |
Cigna
| Professional | $80.42 | $80.42 | $118.72 | |
United
| Professional | $20.83 | $28.41 | $67.65 |