| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.20 | $72.20 | $99.75 | |
Aetna
| Professional | $35.10 | $35.10 | $68.43 | |
BCBS
| Facility | $60.86 | $60.86 | $60.86 | |
BCBS
| Professional | $60.86 | $60.86 | $60.86 | |
Cigna
| Facility | $67.14 | $67.14 | $97.82 | |
Cigna
| Professional | $49.01 | $49.01 | $67.14 | |
United
| Professional | $44.44 | $49.17 | $54.59 |