| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.94 | $23.94 | $23.94 | |
Aetna
| Professional | $17.97 | $21.17 | $30.85 | |
BCBS
| Facility | $136.22 | $165.31 | $222.40 | |
BCBS
| Professional | $14.20 | $19.45 | $22.95 | |
Cigna
| Facility | $385.86 | $471.13 | $769.18 | |
Cigna
| Professional | $20.37 | $37.11 | $63.33 | |
United
| Professional | $14.49 | $20.45 | $40.90 |