| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.33 | $53.70 | $105.59 | |
Aetna
| Professional | $45.00 | $45.23 | $71.55 | |
BCBS
| Facility | $40.28 | $40.28 | $40.28 | |
BCBS
| Professional | $40.28 | $40.28 | $40.28 | |
Cigna
| Facility | $45.23 | $45.23 | $45.23 | |
Cigna
| Professional | $15.91 | $40.60 | $50.75 | |
United
| Professional | $18.95 | $22.62 | $77.20 |