| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $141.25 | $141.25 | |
Aetna
| Professional | $19.95 | $20.89 | $25.12 | |
BCBS
| Facility | $0.02 | $67.61 | $74.13 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $36.31 | $36.31 | $44.67 | |
United
| Facility | $38.02 | $38.02 | $38.02 | |
United
| Professional | $13.18 | $18.62 | $45.71 |