| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.38 | $48.26 | $63.88 | |
Aetna
| Professional | $41.60 | $49.64 | $187.94 | |
BCBS
| Facility | $89.75 | $96.06 | $179.50 | |
BCBS
| Professional | $49.10 | $49.10 | $75.00 | |
Cigna
| Facility | $61.54 | $61.54 | $61.54 | |
Cigna
| Professional | $44.92 | $61.54 | $106.50 | |
United
| Professional | $33.95 | $44.78 | $68.84 |