| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.81 | $65.81 | $65.81 | |
Aetna
| Professional | $31.84 | $66.90 | $73.65 | |
BCBS
| Facility | $157.11 | $171.61 | $181.27 | |
BCBS
| Professional | $35.51 | $75.27 | $102.78 | |
Cigna
| Facility | $99.82 | $99.82 | $99.82 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
United
| Professional | $32.04 | $39.11 | $63.78 |