| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.33 | $58.33 | $58.33 | |
Aetna
| Professional | $44.48 | $53.53 | $66.47 | |
BCBS
| Facility | $113.01 | $171.23 | $171.23 | |
BCBS
| Professional | $46.84 | $56.54 | $56.54 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
United
| Professional | $53.42 | $71.23 | $103.88 |