| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $47.86 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Facility | $95.50 | $120.23 | $302.00 | |
BCBS
| Professional | $67.61 | $125.89 | $177.83 | |
Cigna
| Facility | $70.79 | $70.79 | $331.13 | |
Cigna
| Professional | $117.49 | $245.47 | $691.83 | |
United
| Facility | $229.09 | $229.09 | $229.09 | |
United
| Professional | $1,000.00 | $1,000.00 | $1,000.00 |