| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $72.44 | $154.88 | |
Aetna
| Professional | $25.12 | $42.66 | $117.49 | |
BCBS
| Facility | $30.20 | $30.20 | $33.11 | |
BCBS
| Professional | $18.62 | $26.92 | $35.48 | |
Cigna
| Facility | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $15.85 | $40.74 | $91.20 | |
United
| Professional | $15.85 | $26.92 | $50.12 |