| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $53.70 | $60.26 | |
Aetna
| Professional | $21.88 | $22.91 | $53.70 | |
BCBS
| Facility | $44.67 | $44.67 | $44.67 | |
BCBS
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Facility | $19.05 | $20.42 | $22.39 | |
United
| Facility | $26.92 | $29.51 | $35.48 | |
United
| Professional | $12.30 | $17.78 | $74.13 |