| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.16 | $74.45 | $74.45 | |
Aetna
| Professional | $55.16 | $55.16 | $57.92 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $31.12 | $31.12 | $31.12 | |
Cigna
| Facility | $55.16 | $55.16 | $55.16 | |
Cigna
| Professional | $54.58 | $55.16 | $68.25 | |
United
| Facility | $53.59 | $53.59 | $65.38 | |
United
| Professional | $22.06 | $55.16 | $55.16 |