| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.28 | $57.28 | $57.28 | |
Aetna
| Professional | $27.50 | $52.71 | $62.73 | |
BCBS
| Facility | $126.54 | $137.31 | $137.31 | |
BCBS
| Professional | $33.35 | $59.77 | $81.62 | |
Cigna
| Facility | $80.20 | $80.20 | $80.20 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
United
| Professional | $25.45 | $30.54 | $48.16 |