| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.97 | $72.97 | $72.97 | |
Aetna
| Professional | $23.70 | $30.87 | $72.97 | |
BCBS
| Facility | $72.73 | $103.02 | $116.31 | |
BCBS
| Professional | $24.32 | $28.61 | $28.61 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
United
| Professional | $19.59 | $25.66 | $42.77 |