| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.12 | $54.12 | $54.12 | |
Aetna
| Professional | $38.58 | $44.70 | $63.75 | |
BCBS
| Facility | $118.38 | $167.65 | $189.27 | |
BCBS
| Professional | $54.80 | $54.80 | $78.29 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
United
| Professional | $31.88 | $41.77 | $69.61 |