| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.21 | $79.21 | $79.21 | |
Aetna
| Professional | $42.90 | $80.19 | $99.98 | |
BCBS
| Facility | $171.54 | $188.09 | $199.12 | |
BCBS
| Professional | $41.32 | $83.42 | $125.29 | |
Cigna
| Facility | $123.64 | $123.64 | $123.64 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
United
| Professional | $40.01 | $48.01 | $68.87 |