| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.23 | $47.23 | $47.23 | |
Aetna
| Professional | $18.00 | $39.67 | $118.86 | |
BCBS
| Facility | $124.51 | $168.17 | $199.09 | |
BCBS
| Professional | $42.15 | $49.59 | $79.64 | |
Cigna
| Facility | $45.70 | $45.96 | $50.94 | |
Cigna
| Professional | $33.36 | $33.36 | $87.38 | |
United
| Professional | $29.29 | $43.93 | $73.22 |