| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.03 | $44.03 | $44.03 | |
Aetna
| Professional | $44.03 | $44.03 | $44.03 | |
BCBS
| Facility | $19.64 | $19.64 | $23.58 | |
BCBS
| Professional | $55.04 | $68.00 | $141.00 | |
Cigna
| Facility | $87.93 | $87.93 | $87.93 | |
Cigna
| Professional | $11.08 | $50.39 | $62.98 | |
United
| Professional | $10.42 | $18.48 | $32.58 |