| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.15 | $162.15 | $162.15 | |
Aetna
| Professional | $22.36 | $29.81 | $71.34 | |
BCBS
| Facility | $48.28 | $55.06 | $61.18 | |
BCBS
| Professional | $25.30 | $29.76 | $35.32 | |
Cigna
| Facility | $116.81 | $116.81 | $116.81 | |
Cigna
| Professional | $28.61 | $36.54 | $54.25 | |
United
| Professional | $24.16 | $31.85 | $41.20 |