| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.55 | $134.55 | $134.55 | |
Aetna
| Professional | $19.93 | $28.67 | $52.17 | |
BCBS
| Facility | $40.53 | $45.70 | $51.96 | |
BCBS
| Professional | $20.98 | $24.68 | $29.65 | |
Cigna
| Facility | $99.19 | $99.19 | $99.19 | |
Cigna
| Professional | $24.39 | $31.44 | $45.03 | |
United
| Professional | $20.52 | $26.63 | $37.44 |