| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $41.69 | $64.57 | |
Aetna
| Professional | $26.92 | $38.90 | $61.66 | |
Aetna
| Professional | 25 | $7.76 | $36.31 | $44.67 |
BCBS
| Facility | $44.67 | $56.23 | $141.25 | |
BCBS
| Professional | $28.18 | $45.71 | $83.18 | |
Cigna
| Facility | $44.67 | $123.03 | $354.81 | |
Cigna
| Professional | $41.69 | $87.10 | $154.88 | |
United
| Facility | $28.18 | $29.51 | $45.71 | |
United
| Professional | $35.48 | $48.98 | $89.13 |