| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.55 | $63.55 | $63.55 | |
Aetna
| Professional | $30.35 | $50.73 | $63.55 | |
BCBS
| Facility | $134.34 | $190.27 | $214.81 | |
BCBS
| Professional | $62.19 | $62.19 | $88.84 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
United
| Professional | $36.18 | $52.25 | $79.00 |