| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $23.44 | $38.02 | $83.18 | |
BCBS
| Facility | $48.98 | $53.70 | $58.88 | |
BCBS
| Professional | $20.89 | $28.18 | $33.88 | |
Cigna
| Facility | $117.49 | $117.49 | $117.49 | |
Cigna
| Professional | $25.12 | $36.31 | $52.48 | |
United
| Professional | $23.44 | $31.62 | $43.65 |