| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $51.31 | $160.49 | |
Aetna
| Professional | $51.31 | $51.31 | $56.44 | |
BCBS
| Facility | $42.83 | $93.79 | $200.11 | |
BCBS
| Professional | $20.52 | $33.35 | $57.68 | |
Cigna
| Facility | $43.86 | $68.31 | $149.07 | |
Cigna
| Professional | $51.31 | $53.51 | $66.89 | |
United
| Professional | $21.55 | $30.79 | $57.47 |