| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.77 | $63.33 | $760.97 | |
Aetna
| Professional | $32.97 | $43.76 | $85.08 | |
BCBS
| Facility | $70.86 | $70.86 | $92.12 | |
BCBS
| Professional | $92.27 | $92.27 | $92.27 | |
CareSource
| Facility | $64.43 | $68.50 | $70.87 | |
Cigna
| Facility | $65.00 | $70.00 | $85.00 | |
Cigna
| Professional | $34.15 | $51.84 | $81.06 | |
United
| Professional | $46.94 | $53.68 | $73.22 |