| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $51.31 | $102.62 | |
Aetna
| Professional | $51.31 | $51.31 | $51.31 | |
BCBS
| Facility | $36.58 | $44.39 | $59.72 | |
BCBS
| Professional | $31.68 | $38.47 | $45.41 | |
Cigna
| Facility | $40.35 | $43.36 | $161.22 | |
Cigna
| Professional | $51.31 | $51.31 | $51.31 | |
United
| Professional | $21.55 | $27.62 | $51.33 |