| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.53 | $782.99 | $879.62 | |
Aetna
| Professional | $30.01 | $30.30 | $31.21 | |
BCBS
| Facility | $29.30 | $29.30 | $31.37 | |
BCBS
| Professional | $30.01 | $30.01 | $30.01 | |
Cigna
| Facility | $28.31 | $30.01 | $30.01 | |
Cigna
| Professional | $30.01 | $30.01 | $30.01 | |
United
| Professional | $30.01 | $30.01 | $30.01 |