| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $20.89 | $38.02 | $74.13 | |
BCBS
| Facility | $41.69 | $46.77 | $52.48 | |
BCBS
| Professional | $18.20 | $24.55 | $29.51 | |
Cigna
| Facility | $102.33 | $102.33 | $102.33 | |
Cigna
| Professional | $21.88 | $31.62 | $46.77 | |
United
| Professional | $20.42 | $28.18 | $38.90 |