| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.94 | $76.94 | $76.94 | |
Aetna
| Professional | $40.40 | $77.44 | $89.93 | |
BCBS
| Facility | $168.71 | $184.83 | $195.58 | |
BCBS
| Professional | $40.13 | $84.94 | $121.68 | |
Cigna
| Facility | $126.49 | $126.49 | $126.49 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
United
| Professional | $38.85 | $46.62 | $70.23 |