| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.75 | $61.75 | $334.88 | |
Aetna
| Professional | $35.00 | $36.99 | $57.83 | |
BCBS
| Facility | $64.50 | $64.50 | $64.50 | |
BCBS
| Professional | $64.50 | $64.50 | $64.50 | |
Cigna
| Facility | $45.70 | $45.70 | $73.81 | |
Cigna
| Professional | $33.36 | $33.36 | $65.58 | |
United
| Professional | $29.78 | $32.95 | $36.58 |