| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.34 | $65.34 | $65.34 | |
Aetna
| Professional | $64.56 | $65.34 | $65.34 | |
BCBS
| Facility | $74.84 | $74.84 | $89.82 | |
BCBS
| Professional | $81.68 | $101.00 | $209.00 | |
Cigna
| Facility | $130.50 | $130.50 | $130.50 | |
Cigna
| Professional | $106.52 | $106.52 | $140.44 | |
United
| Professional | $25.01 | $27.44 | $59.55 |