| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.96 | $71.96 | $71.96 | |
Aetna
| Professional | $39.00 | $69.81 | $75.31 | |
BCBS
| Facility | $141.31 | $154.13 | $162.68 | |
BCBS
| Professional | $37.63 | $81.51 | $104.35 | |
Cigna
| Facility | $103.24 | $103.24 | $103.24 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
United
| Professional | $32.54 | $41.60 | $58.83 |