| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.87 | $75.87 | $75.87 | |
Aetna
| Professional | $37.79 | $75.06 | $87.36 | |
BCBS
| Facility | $171.26 | $186.55 | $196.75 | |
BCBS
| Professional | $39.85 | $86.29 | $120.42 | |
Cigna
| Facility | $118.39 | $118.39 | $118.39 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
United
| Professional | $38.04 | $45.66 | $68.79 |