| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.21 | $102.91 | $204.78 | |
Aetna
| Professional | $52.87 | $57.26 | $79.35 | |
BCBS
| Facility | $67.36 | $74.09 | $233.07 | |
BCBS
| Professional | $33.26 | $33.26 | $69.74 | |
Cigna
| Facility | $47.10 | $105.53 | $217.69 | |
Cigna
| Professional | $42.76 | $77.23 | $98.82 | |
United
| Professional | $28.29 | $40.42 | $94.11 |