| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $12.88 | $16.98 | $208.93 | |
BCBS
| Facility | $31.62 | $38.02 | $51.29 | |
BCBS
| Professional | $8.91 | $12.59 | $12.59 | |
Cigna
| Professional | $8.71 | $15.49 | $63.10 | |
United
| Professional | $9.77 | $12.30 | $22.91 |