| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $23.99 | $33.11 | $190.55 | |
BCBS
| Facility | $63.10 | $72.44 | $141.25 | |
BCBS
| Professional | $23.99 | $31.62 | $31.62 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
United
| Professional | $25.12 | $34.67 | $50.12 |