| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.31 | $57.54 | $71.94 | |
Aetna
| Professional | $46.49 | $53.41 | $61.51 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $58.04 | $59.17 | $64.31 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $37.95 | $37.95 | |
United
| Professional | $35.22 | $49.03 | $83.05 |