| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.30 | $59.30 | $59.30 | |
Aetna
| Professional | $32.06 | $58.84 | $66.39 | |
BCBS
| Facility | $138.62 | $152.52 | $156.10 | |
BCBS
| Professional | $31.70 | $68.52 | $93.56 | |
Cigna
| Facility | $89.90 | $89.90 | $89.90 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
United
| Professional | $29.18 | $35.01 | $50.22 |