| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.61 | $45.61 | $45.61 | |
Aetna
| Professional | $24.53 | $45.06 | $55.27 | |
BCBS
| Facility | $109.26 | $119.60 | $120.81 | |
BCBS
| Professional | $24.46 | $52.53 | $71.72 | |
Cigna
| Facility | $70.56 | $70.56 | $70.56 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
United
| Professional | $22.36 | $26.83 | $40.42 |