| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.50 | $193.10 | $689.16 | |
Aetna
| Professional | $20.32 | $20.32 | $26.07 | |
BCBS
| Facility | $33.18 | $33.18 | $39.81 | |
BCBS
| Professional | $32.59 | $40.00 | $83.00 | |
Cigna
| Facility | $52.34 | $52.34 | $52.34 | |
Cigna
| Professional | $11.84 | $30.15 | $37.69 | |
United
| Professional | $10.95 | $11.17 | $27.04 |