| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.04 | $190.04 | $190.04 | |
Aetna
| Professional | $29.11 | $34.71 | $171.95 | |
BCBS
| Facility | $59.61 | $64.53 | $75.95 | |
BCBS
| Professional | $29.29 | $34.46 | $35.13 | |
Cigna
| Facility | $137.54 | $137.54 | $137.54 | |
Cigna
| Professional | $35.90 | $50.39 | $63.58 | |
United
| Professional | $28.96 | $36.36 | $52.88 |