| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.47 | $53.00 | $65.29 | |
Aetna
| Professional | $47.03 | $54.34 | $71.20 | |
BCBS
| Facility | $93.66 | $93.66 | $214.54 | |
BCBS
| Professional | $93.66 | $93.66 | $93.66 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $101.25 | |
United
| Professional | $48.04 | $57.82 | $100.99 |