| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.97 | $72.97 | $72.97 | |
Aetna
| Professional | $36.60 | $71.70 | $84.85 | |
BCBS
| Facility | $176.23 | $191.28 | $201.32 | |
BCBS
| Professional | $38.06 | $82.44 | $115.42 | |
Cigna
| Facility | $114.38 | $114.38 | $114.38 | |
Cigna
| Professional | $42.55 | $42.55 | $42.55 | |
United
| Professional | $36.85 | $44.22 | $63.44 |