| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $89.13 | $151.36 | |
Aetna
| Professional | $9.55 | $19.05 | $19.50 | |
BCBS
| Facility | $52.48 | $58.88 | $69.18 | |
BCBS
| Professional | $0.51 | $190.55 | $251.19 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $6.31 | $6.31 | $144.54 | |
United
| Professional | $575.44 | $575.44 | $575.44 |