| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.32 | $76.40 | $497.98 | |
Aetna
| Professional | $26.82 | $40.03 | $68.89 | |
BCBS
| Facility | $74.06 | $175.43 | $513.00 | |
BCBS
| Professional | $22.48 | $40.65 | $68.55 | |
Cigna
| Facility | $87.04 | $99.28 | $120.98 | |
Cigna
| Facility | AS | $4.34 | $4.34 | $4.34 |
Cigna
| Professional | $19.93 | $38.74 | $86.76 | |
United
| Professional | $36.99 | $46.49 | $62.19 |