| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.64 | $489.60 | $872.10 | |
Aetna
| Professional | $5.00 | $44.20 | $132.59 | |
BCBS
| Facility | $17.84 | $26.31 | $75.62 | |
BCBS
| Professional | $6.92 | $9.89 | $21.18 | |
Cigna
| Professional | $16.82 | $16.82 | $16.82 | |
United
| Professional | $11.45 | $14.33 | $19.88 |