| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.70 | $40.70 | $64.87 | |
Aetna
| Professional | $26.72 | $47.03 | $64.87 | |
BCBS
| Facility | $67.95 | $67.95 | $67.95 | |
BCBS
| Professional | $67.95 | $67.95 | $67.95 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $44.34 | $52.17 | |
United
| Professional | $27.91 | $46.48 | $74.59 |