| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.47 | $80.47 | $80.47 | |
Aetna
| Professional | $41.14 | $79.97 | $90.87 | |
BCBS
| Facility | $172.62 | $188.59 | $199.23 | |
BCBS
| Professional | $42.92 | $92.93 | $127.29 | |
Cigna
| Facility | $124.79 | $124.79 | $124.79 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
United
| Professional | $39.69 | $47.63 | $70.81 |