| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.73 | $58.97 | $116.64 | |
Aetna
| Professional | $51.77 | $52.73 | $63.53 | |
BCBS
| Facility | $56.12 | $89.88 | $164.05 | |
BCBS
| Professional | $52.94 | $54.00 | $58.23 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
United
| Professional | $52.94 | $52.94 | $59.29 |