| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.54 | $57.19 | $78.92 | |
Aetna
| Professional | $25.61 | $48.69 | $78.18 | |
BCBS
| Facility | $65.55 | $108.79 | $183.08 | |
BCBS
| Professional | $38.02 | $50.72 | $66.23 | |
Cigna
| Facility | $50.02 | $50.02 | $50.02 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
United
| Professional | $56.75 | $80.19 | $133.54 |