| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.49 | $42.49 | $42.49 | |
Aetna
| Professional | $21.77 | $40.82 | $53.00 | |
BCBS
| Facility | $106.44 | $115.16 | $115.16 | |
BCBS
| Professional | $23.02 | $48.38 | $66.06 | |
Cigna
| Facility | $66.22 | $66.22 | $66.22 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
United
| Professional | $20.60 | $24.71 | $35.81 |