| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.07 | $63.07 | $63.07 | |
Aetna
| Professional | $33.46 | $39.27 | $88.11 | |
Aetna
| Professional | CO | $79.36 | $79.36 | $79.36 |
BCBS
| Professional | $48.00 | $59.00 | $59.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $35.11 | $45.65 | $81.34 | |
United
| Professional | $31.34 | $35.01 | $36.01 |