| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $39.81 | $53.70 | $57.54 | |
BCBS
| Facility | $32.36 | $32.36 | $38.90 | |
BCBS
| Professional | $72.44 | $89.13 | $186.21 | |
Cigna
| Professional | $66.07 | $66.07 | $83.18 | |
United
| Facility | $57.54 | $57.54 | $57.54 | |
United
| Professional | $24.55 | $34.67 | $81.28 |