| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.33 | $35.33 | $260.07 | |
Aetna
| Professional | $45.22 | $45.23 | $90.00 | |
BCBS
| Facility | $35.33 | $35.33 | $35.33 | |
BCBS
| Professional | $35.33 | $35.33 | $35.33 | |
Cigna
| Facility | $175.68 | $175.68 | $175.68 | |
Cigna
| Professional | $19.32 | $45.23 | $50.75 | |
United
| Professional | $12.37 | $26.90 | $68.06 |