| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.21 | $35.72 | $167.25 | |
Aetna
| Professional | $30.08 | $31.21 | $31.96 | |
BCBS
| Facility | $68.40 | $68.40 | $75.20 | |
BCBS
| Professional | $28.03 | $29.24 | $37.60 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
United
| Professional | $37.60 | $37.60 | $41.36 |