| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.42 | $52.42 | $52.42 | |
Aetna
| Professional | $26.83 | $48.79 | $61.89 | |
BCBS
| Facility | $114.14 | $125.81 | $125.81 | |
BCBS
| Professional | $27.52 | $57.34 | $78.29 | |
Cigna
| Facility | $90.02 | $90.02 | $90.02 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
United
| Professional | $24.42 | $29.30 | $45.87 |