| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.80 | $44.80 | $44.80 | |
Aetna
| Professional | $23.13 | $45.01 | $51.70 | |
BCBS
| Facility | $112.48 | $121.62 | $121.62 | |
BCBS
| Professional | $24.40 | $50.72 | $69.25 | |
Cigna
| Facility | $69.19 | $69.19 | $69.19 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
United
| Professional | $21.60 | $25.91 | $39.04 |