| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.52 | $127.22 | $141.13 | |
Aetna
| Professional | $54.92 | $76.47 | $133.47 | |
BCBS
| Facility | $125.84 | $125.84 | $125.84 | |
BCBS
| Professional | $125.84 | $125.84 | $125.84 | |
Cigna
| Facility | $45.19 | $52.74 | $164.11 | |
Cigna
| Professional | $31.62 | $65.17 | $100.15 | |
United
| Professional | $29.20 | $38.24 | $118.67 |