| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.66 | $67.66 | $67.66 | |
Aetna
| Professional | $32.58 | $65.41 | $74.73 | |
BCBS
| Facility | $154.36 | $169.53 | $179.65 | |
BCBS
| Professional | $36.88 | $76.48 | $104.43 | |
Cigna
| Facility | $101.12 | $101.12 | $101.12 | |
Cigna
| Professional | $37.59 | $37.59 | $37.59 | |
United
| Professional | $33.65 | $39.07 | $57.38 |