| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $36.31 | $72.44 | |
Aetna
| Professional | $22.91 | $37.15 | $60.26 | |
Aetna
| Professional | 25 | $85.11 | $85.11 | $85.11 |
BCBS
| Facility | $66.07 | $67.61 | $70.79 | |
BCBS
| Professional | $26.30 | $43.65 | $85.11 | |
Cigna
| Facility | $32.36 | $60.26 | $169.82 | |
Cigna
| Professional | $34.67 | $57.54 | $120.23 | |
United
| Facility | $38.90 | $57.54 | $85.11 | |
United
| Professional | $29.51 | $47.86 | $83.18 |