| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.10 | $102.10 | $119.92 | |
Aetna
| Professional | $28.29 | $102.10 | $102.10 | |
BCBS
| Facility | $78.56 | $78.56 | $78.56 | |
BCBS
| Professional | $76.17 | $112.01 | $112.01 | |
Cigna
| Facility | $44.80 | $51.97 | $103.04 | |
Cigna
| Professional | $79.30 | $81.70 | $99.12 | |
United
| Facility | $67.20 | $67.20 | $67.20 | |
United
| Professional | $28.95 | $41.35 | $51.86 |