| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.39 | $42.39 | $42.39 | |
Aetna
| Professional | $19.42 | $39.11 | $47.99 | |
BCBS
| Facility | $89.46 | $97.74 | $97.74 | |
BCBS
| Professional | $23.96 | $45.91 | $62.69 | |
Cigna
| Facility | $61.43 | $61.43 | $61.43 | |
Cigna
| Professional | $22.57 | $22.57 | $22.57 | |
United
| Professional | $19.55 | $23.46 | $34.02 |