| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $66.07 | $120.23 | |
Aetna
| Professional | $64.57 | $66.07 | $107.15 | |
BCBS
| Facility | $69.18 | $91.20 | $177.83 | |
BCBS
| Professional | $66.07 | $66.07 | $93.33 | |
Cigna
| Facility | $72.44 | $72.44 | $186.21 | |
Cigna
| Professional | $72.44 | $74.13 | $95.50 | |
United
| Facility | $66.07 | $69.18 | $128.82 | |
United
| Professional | $74.13 | $77.62 | $87.10 |