| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.29 | $57.29 | $57.29 | |
Aetna
| Professional | $27.13 | $52.11 | $62.13 | |
BCBS
| Facility | $122.20 | $133.70 | $134.68 | |
BCBS
| Professional | $32.52 | $58.11 | $79.34 | |
Cigna
| Facility | $78.06 | $78.06 | $78.06 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
United
| Professional | $24.74 | $29.69 | $47.41 |