| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.53 | $63.53 | $88.94 | |
Aetna
| Professional | $63.53 | $63.53 | $63.53 | |
BCBS
| Facility | $28.63 | $33.59 | $57.18 | |
BCBS
| Professional | $57.18 | $57.18 | $58.32 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
United
| Professional | $52.94 | $52.94 | $63.53 |