| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $125.89 | $125.89 | |
Aetna
| Professional | $18.20 | $19.95 | $22.91 | |
BCBS
| Facility | $26.30 | $28.84 | $32.36 | |
BCBS
| Professional | $33.11 | $33.11 | $33.11 | |
Cigna
| Facility | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $10.47 | $15.14 | $38.90 |