| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.14 | $148.80 | $462.07 | |
Aetna
| Professional | $24.55 | $37.71 | $71.01 | |
BCBS
| Facility | $69.14 | $162.26 | $337.62 | |
BCBS
| Professional | $20.84 | $35.45 | $59.10 | |
Cigna
| Facility | $86.15 | $88.68 | $97.84 | |
Cigna
| Facility | AS | $4.01 | $4.01 | $4.01 |
Cigna
| Professional | $18.20 | $34.47 | $77.08 | |
United
| Professional | $32.97 | $40.28 | $52.42 |