| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $104.71 | $165.96 | |
Aetna
| Professional | $16.60 | $23.44 | $23.99 | |
BCBS
| Facility | $29.51 | $31.62 | $52.48 | |
BCBS
| Professional | $12.30 | $14.45 | $43.65 | |
Cigna
| Facility | $24.55 | $61.66 | $107.15 | |
Cigna
| Professional | $18.62 | $19.95 | $37.15 | |
United
| Facility | $30.90 | $30.90 | $30.90 | |
United
| Professional | $14.79 | $21.88 | $51.29 |