| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $26.92 | $39.81 | $173.78 | |
BCBS
| Facility | $61.66 | $66.07 | $75.86 | |
BCBS
| Professional | $25.70 | $34.67 | $41.69 | |
Cigna
| Facility | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $30.90 | $50.12 | $66.07 | |
United
| Professional | $29.51 | $38.90 | $57.54 |