| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.19 | $34.19 | $34.19 | |
Aetna
| Professional | $26.82 | $28.60 | $28.60 | |
BCBS
| Facility | $35.99 | $35.99 | $43.19 | |
BCBS
| Professional | $42.74 | $53.00 | $109.00 | |
Cigna
| Facility | $68.39 | $68.39 | $68.39 | |
Cigna
| Professional | $19.44 | $39.24 | $49.04 | |
United
| Professional | $14.36 | $18.21 | $44.08 |