| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.21 | $75.21 | $75.21 | |
Aetna
| Professional | $39.59 | $76.12 | $86.71 | |
BCBS
| Facility | $174.86 | $190.81 | $201.44 | |
BCBS
| Professional | $39.34 | $85.21 | $118.92 | |
Cigna
| Facility | $117.47 | $117.47 | $117.47 | |
Cigna
| Professional | $43.73 | $43.73 | $43.73 | |
United
| Professional | $37.88 | $45.45 | $68.45 |