| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.88 | $66.07 | |
Aetna
| Professional | $33.11 | $33.11 | $64.57 | |
BCBS
| Facility | $95.50 | $123.03 | $141.25 | |
BCBS
| Professional | $0.02 | $3.80 | $3.80 | |
Cigna
| Facility | $38.90 | $64.57 | $89.13 | |
United
| Facility | $29.51 | $51.29 | $128.82 | |
United
| Professional | $35.48 | $35.48 | $51.29 |