| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.92 | $52.92 | $84.34 | |
Aetna
| Professional | $43.27 | $55.44 | $84.34 | |
BCBS
| Facility | $73.18 | $73.18 | $73.18 | |
BCBS
| Professional | $73.18 | $73.18 | $73.18 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $42.78 | $58.60 | |
United
| Professional | $27.91 | $44.83 | $70.33 |