| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $79.43 | |
Aetna
| Professional | $31.62 | $54.95 | $97.72 | |
Aetna
| Professional | 25 | $53.70 | $91.20 | $134.90 |
BCBS
| Facility | $74.13 | $91.20 | $117.49 | |
BCBS
| Professional | $38.90 | $54.95 | $79.43 | |
Cigna
| Professional | $41.69 | $79.43 | $95.50 | |
United
| Professional | $35.48 | $48.98 | $72.44 |