| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.27 | $29.27 | $60.77 | |
Aetna
| Professional | $21.78 | $43.06 | $60.77 | |
BCBS
| Facility | $69.28 | $84.08 | $113.12 | |
BCBS
| Professional | $17.48 | $36.65 | $58.40 | |
Cigna
| Professional | $25.06 | $55.18 | $100.96 | |
United
| Professional | $25.89 | $47.61 | $70.03 |