| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.45 | $49.45 | $49.45 | |
Aetna
| Professional | $46.60 | $49.45 | $60.66 | |
BCBS
| Facility | $182.91 | $221.97 | $298.62 | |
BCBS
| Professional | $65.22 | $65.22 | $65.22 | |
Cigna
| Professional | $70.36 | $120.35 | $236.35 | |
United
| Professional | $62.13 | $73.09 | $81.36 |