| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $65.67 | $78.77 | |
Aetna
| Professional | $65.67 | $65.67 | $85.76 | |
BCBS
| Facility | $72.56 | $111.47 | $206.11 | |
BCBS
| Professional | $66.06 | $66.06 | $73.81 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
United
| Facility | $77.67 | $77.67 | $77.67 | |
United
| Professional | $73.40 | $77.26 | $88.08 |