| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.55 | $68.55 | $68.55 | |
Aetna
| Professional | $67.73 | $68.55 | $68.55 | |
BCBS
| Facility | $74.84 | $74.84 | $89.82 | |
BCBS
| Professional | $85.69 | $106.00 | $219.00 | |
Cigna
| Facility | $136.78 | $136.78 | $136.78 | |
Cigna
| Professional | $111.31 | $111.31 | $147.43 | |
United
| Professional | $25.01 | $28.79 | $59.55 |