| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $61.66 | $61.66 | |
Aetna
| Professional | $32.36 | $58.88 | $66.07 | |
BCBS
| Facility | $75.86 | $141.25 | $190.55 | |
BCBS
| Professional | $31.62 | $48.98 | $107.15 | |
Cigna
| Facility | $125.89 | $190.55 | $269.15 | |
Cigna
| Professional | $33.88 | $33.88 | $107.15 | |
United
| Facility | $56.23 | $70.79 | $114.82 | |
United
| Professional | $24.55 | $34.67 | $54.95 |