| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.01 | $67.01 | $67.01 | |
Aetna
| Professional | $30.55 | $57.48 | $75.00 | |
BCBS
| Facility | $126.38 | $137.85 | $145.50 | |
BCBS
| Professional | $34.71 | $68.05 | $92.91 | |
Cigna
| Facility | $90.57 | $90.57 | $90.57 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
United
| Professional | $28.97 | $34.76 | $52.80 |