| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.00 | $60.00 | $60.00 | |
Aetna
| Professional | $40.00 | $47.00 | $60.00 | |
BCBS
| Facility | $146.78 | $146.78 | $146.78 | |
BCBS
| Professional | $44.17 | $55.12 | $55.12 | |
Cigna
| Professional | $38.22 | $38.22 | $38.22 | |
United
| Professional | $46.80 | $59.80 | $143.74 |