| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.17 | $72.17 | $72.17 | |
Aetna
| Professional | $28.17 | $32.64 | $72.17 | |
BCBS
| Facility | $86.45 | $122.44 | $138.22 | |
BCBS
| Professional | $40.03 | $40.03 | $57.18 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
United
| Professional | $20.34 | $30.50 | $50.84 |