| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.90 | $79.94 | $99.96 | |
Aetna
| Professional | $64.59 | $74.20 | $80.66 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $80.63 | $82.21 | $89.36 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $225.75 | |
United
| Professional | $48.94 | $69.52 | $117.26 |