| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.07 | $50.07 | $79.80 | |
Aetna
| Professional | $47.67 | $57.12 | $79.80 | |
BCBS
| Facility | $69.23 | $69.23 | $69.23 | |
BCBS
| Professional | $69.23 | $69.23 | $69.23 | |
Cigna
| Facility | $56.02 | $56.02 | $56.02 | |
Cigna
| Professional | $40.89 | $40.89 | $74.45 | |
United
| Professional | $26.40 | $42.42 | $70.58 |