| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.30 | $43.30 | $43.30 | |
Aetna
| Professional | $40.75 | $42.28 | $43.30 | |
BCBS
| Facility | $668.16 | $810.85 | $1,090.84 | |
BCBS
| Professional | $40.94 | $40.94 | $40.94 | |
Cigna
| Facility | $28.87 | $28.87 | $28.87 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
United
| Professional | $34.45 | $40.53 | $45.12 |