| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.09 | $35.09 | $35.09 | |
Aetna
| Professional | $35.09 | $35.09 | $65.34 | |
BCBS
| Facility | $60.18 | $60.18 | $72.20 | |
BCBS
| Professional | $43.86 | $54.00 | $112.00 | |
Cigna
| Facility | $70.48 | $70.48 | $70.48 | |
Cigna
| Professional | $24.16 | $56.99 | $83.80 | |
United
| Professional | $14.74 | $20.88 | $49.04 |