| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.69 | $85.69 | $99.51 | |
Aetna
| Professional | $65.30 | $79.63 | $99.51 | |
BCBS
| Facility | $43.00 | $52.18 | $70.20 | |
BCBS
| Professional | $58.40 | $80.00 | $94.40 | |
Cigna
| Professional | $70.73 | $95.76 | $277.00 | |
United
| Professional | $60.38 | $80.20 | $112.80 |