| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.71 | $117.47 | $157.19 | |
Aetna
| Professional | $50.71 | $70.61 | $123.24 | |
BCBS
| Facility | $86.73 | $86.73 | $86.73 | |
BCBS
| Professional | $86.73 | $86.73 | $86.73 | |
Cigna
| Facility | $40.79 | $43.86 | $80.53 | |
Cigna
| Professional | $25.85 | $43.25 | $91.89 | |
United
| Professional | $22.64 | $32.10 | $96.29 |