| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.64 | $55.70 | $135.85 | |
Aetna
| Professional | $39.90 | $41.15 | $42.14 | |
BCBS
| Facility | $34.78 | $59.50 | $121.39 | |
BCBS
| Professional | $34.78 | $41.31 | $42.14 | |
Cigna
| Facility | $42.14 | $42.14 | $42.14 | |
Cigna
| Professional | $42.14 | $42.14 | $42.14 | |
United
| Professional | $41.31 | $41.31 | $43.79 |