| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $61.66 | $131.83 | |
Aetna
| Professional | $19.05 | $20.89 | $83.18 | |
BCBS
| Facility | $93.33 | $93.33 | $102.33 | |
BCBS
| Professional | $30.90 | $40.74 | $47.86 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $16.60 | $22.91 | $22.91 | |
United
| Professional | $14.45 | $23.99 | $43.65 |