| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.02 | $77.02 | $77.02 | |
Aetna
| Professional | $36.82 | $70.73 | $85.87 | |
BCBS
| Facility | $155.22 | $169.58 | $169.58 | |
BCBS
| Professional | $43.65 | $79.67 | $108.77 | |
Cigna
| Facility | $107.69 | $107.69 | $107.69 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
United
| Professional | $33.92 | $40.70 | $61.31 |