| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.10 | $292.89 | $292.89 | |
Aetna
| Professional | $49.33 | $59.10 | $83.39 | |
BCBS
| Facility | $71.64 | $71.64 | $71.64 | |
BCBS
| Professional | $71.64 | $71.64 | $71.64 | |
Cigna
| Facility | $61.54 | $61.54 | $61.54 | |
Cigna
| Professional | $44.92 | $44.92 | $61.54 | |
United
| Professional | $27.32 | $43.00 | $68.84 |