| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $295.12 | |
Aetna
| Professional | $16.22 | $19.95 | $64.57 | |
BCBS
| Facility | $19.50 | $19.50 | $23.44 | |
BCBS
| Professional | $27.54 | $33.88 | $70.79 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $10.96 | $12.30 | $32.36 | |
United
| Facility | $22.39 | $22.39 | $22.39 | |
United
| Professional | $9.33 | $10.72 | $25.12 |