| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.95 | $53.95 | $53.95 | |
Aetna
| Professional | $52.05 | $53.95 | $53.95 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
BCBS
| Professional | $52.89 | $52.89 | $52.89 | |
Cigna
| Facility | $53.95 | $53.95 | $53.95 | |
Cigna
| Professional | $53.95 | $53.95 | $89.22 | |
United
| Professional | $52.89 | $52.89 | $52.89 |