| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.21 | $161.03 | $278.02 | |
Aetna
| Professional | $12.48 | $24.18 | $36.27 | |
BCBS
| Facility | $17.27 | $20.34 | $22.11 | |
BCBS
| Professional | $12.95 | $12.95 | $21.10 | |
Cigna
| Professional | $9.67 | $19.82 | $24.78 | |
United
| Professional | $6.04 | $10.36 | $24.91 |