| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.92 | $126.12 | $139.91 | |
Aetna
| Professional | $54.45 | $75.81 | $132.33 | |
BCBS
| Facility | $113.64 | $113.64 | $113.64 | |
BCBS
| Professional | $113.64 | $113.64 | $113.64 | |
Cigna
| Professional | $31.32 | $64.56 | $99.12 | |
United
| Professional | $28.95 | $41.35 | $115.87 |