| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $136.68 | $223.20 | |
Aetna
| Professional | $39.81 | $39.81 | $43.79 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $54.60 | $54.60 | $54.60 | |
Cigna
| Professional | $54.60 | $54.60 | $63.34 | |
United
| Professional | $49.05 | $55.43 | $57.62 |