| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.77 | $63.77 | $63.77 | |
Aetna
| Professional | $30.13 | $55.68 | $70.98 | |
BCBS
| Facility | $135.39 | $147.15 | $147.15 | |
BCBS
| Professional | $35.75 | $65.25 | $89.10 | |
Cigna
| Facility | $88.00 | $88.00 | $88.00 | |
Cigna
| Professional | $32.08 | $32.08 | $32.08 | |
United
| Professional | $27.79 | $33.34 | $53.24 |