| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $72.44 | $154.88 | |
Aetna
| Professional | $22.91 | $39.81 | $102.33 | |
BCBS
| Facility | $114.82 | $114.82 | $128.82 | |
BCBS
| Professional | $18.62 | $24.55 | $35.48 | |
Cigna
| Facility | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $13.80 | $13.80 | $20.42 | |
United
| Professional | $15.85 | $20.42 | $47.86 |