| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.63 | $64.63 | $64.63 | |
Aetna
| Professional | $33.96 | $39.36 | $64.63 | |
BCBS
| Facility | $104.23 | $147.63 | $166.68 | |
BCBS
| Professional | $48.27 | $48.27 | $68.95 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
United
| Professional | $28.07 | $36.79 | $61.31 |