| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.10 | $35.07 | $53.57 | |
Aetna
| Professional | $22.10 | $35.71 | $175.24 | |
BCBS
| Facility | $370.99 | $370.99 | $370.99 | |
BCBS
| Professional | $27.52 | $27.52 | $442.36 | |
Cigna
| Professional | $18.69 | $68.01 | $505.51 | |
United
| Professional | $175.64 | $274.27 | $325.70 |