| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.70 | $66.70 | $66.70 | |
Aetna
| Professional | $66.70 | $66.70 | $66.70 | |
BCBS
| Facility | $114.38 | $114.38 | $137.25 | |
BCBS
| Professional | $83.38 | $103.00 | $213.00 | |
Cigna
| Facility | $133.29 | $133.29 | $133.29 | |
Cigna
| Professional | $41.00 | $76.41 | $95.51 | |
United
| Professional | $28.01 | $28.01 | $93.16 |