| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.91 | $42.91 | $46.40 | |
Aetna
| Professional | $30.03 | $37.13 | $46.40 | |
BCBS
| Facility | $66.78 | $92.06 | $92.06 | |
BCBS
| Professional | $24.35 | $28.65 | $47.85 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
United
| Professional | $21.50 | $36.94 | $59.38 |