| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $47.86 | $47.86 | |
Aetna
| Professional | $7.08 | $7.08 | $67.61 | |
BCBS
| Facility | $0.02 | $177.83 | $204.17 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $95.50 | $95.50 | $120.23 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $35.48 | $50.12 | $120.23 |