| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.79 | $125.29 | $223.20 | |
Aetna
| Professional | $38.67 | $45.27 | $78.37 | |
BCBS
| Facility | $45.78 | $63.13 | $123.02 | |
BCBS
| Professional | $49.73 | $49.73 | $56.70 | |
Cigna
| Facility | $37.56 | $54.60 | $54.60 | |
Cigna
| Professional | $54.60 | $54.60 | $54.60 | |
United
| Professional | $49.05 | $55.43 | $58.86 |