| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.08 | $135.25 | $217.90 | |
Aetna
| Professional | $11.10 | $16.80 | $16.80 | |
BCBS
| Facility | $20.55 | $20.55 | $24.66 | |
BCBS
| Professional | $21.01 | $26.00 | $54.00 | |
Cigna
| Facility | $33.50 | $33.50 | $33.50 | |
Cigna
| Professional | $8.17 | $19.41 | $24.26 | |
United
| Professional | $6.93 | $7.06 | $16.76 |