| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.59 | $60.59 | $60.59 | |
Aetna
| Professional | $21.74 | $25.19 | $60.59 | |
BCBS
| Facility | $66.72 | $94.47 | $106.65 | |
BCBS
| Professional | $30.88 | $30.88 | $44.12 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
United
| Professional | $17.96 | $25.96 | $39.22 |