| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.07 | $71.65 | $641.78 | |
Aetna
| Professional | $53.07 | $53.08 | $58.97 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
BCBS
| Professional | $46.56 | $46.56 | $46.56 | |
Cigna
| Facility | $45.90 | $45.90 | $45.90 | |
Cigna
| Professional | $45.90 | $45.90 | $99.63 | |
United
| Professional | $53.08 | $53.08 | $53.08 |