| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.32 | $33.32 | $34.40 | |
Aetna
| Professional | $27.01 | $33.47 | $91.20 | |
Aetna
| Professional | 25 | $180.00 | $270.00 | $360.00 |
BCBS
| Facility | $49.92 | $95.69 | $376.14 | |
BCBS
| Professional | $25.84 | $30.40 | $50.03 | |
Cigna
| Professional | $28.57 | $28.57 | $35.60 | |
United
| Professional | $32.46 | $41.66 | $57.71 |