| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.79 | $66.79 | $66.79 | |
Aetna
| Professional | $34.44 | $64.19 | $74.59 | |
BCBS
| Facility | $147.88 | $161.92 | $168.46 | |
BCBS
| Professional | $37.22 | $73.62 | $100.52 | |
Cigna
| Facility | $105.38 | $105.38 | $105.38 | |
Cigna
| Professional | $36.19 | $36.19 | $36.19 | |
United
| Professional | $31.12 | $38.51 | $56.65 |