| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.23 | $47.23 | $48.54 | |
Aetna
| Professional | $23.72 | $37.89 | $68.06 | |
BCBS
| Facility | $69.19 | $88.79 | $88.79 | |
BCBS
| Professional | $26.75 | $31.47 | $52.47 | |
Cigna
| Facility | $170.50 | $170.50 | $170.50 | |
Cigna
| Professional | $34.94 | $46.00 | $81.48 | |
United
| Professional | $36.00 | $44.47 | $70.91 |