| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.45 | $105.16 | $200.59 | |
Aetna
| Professional | $24.82 | $33.25 | $35.34 | |
BCBS
| Facility | $47.76 | $47.76 | $51.90 | |
BCBS
| Professional | $30.41 | $30.41 | $66.15 | |
Cigna
| Facility | $83.76 | $83.76 | $147.25 | |
Cigna
| Professional | $23.98 | $53.64 | $116.94 | |
United
| Professional | $17.03 | $40.54 | $69.43 |