| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.03 | $44.03 | $44.03 | |
Aetna
| Professional | $22.45 | $42.07 | $48.40 | |
BCBS
| Facility | $96.24 | $104.91 | $104.91 | |
BCBS
| Professional | $24.72 | $48.07 | $65.64 | |
Cigna
| Facility | $64.87 | $64.87 | $64.87 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
United
| Professional | $20.47 | $24.56 | $36.99 |