| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.02 | $62.49 | $79.42 | |
Aetna
| Professional | $51.47 | $63.60 | $83.66 | |
Aetna
| Professional | 25 | $14.48 | $70.06 | $76.20 |
BCBS
| Facility | $65.89 | $79.66 | $209.81 | |
BCBS
| Professional | $54.40 | $71.39 | $104.72 | |
Cigna
| Facility | $100.51 | $100.51 | $111.52 | |
Cigna
| Professional | $62.43 | $98.95 | $176.40 | |
United
| Professional | $58.43 | $76.70 | $129.22 |