| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.30 | $69.22 | $100.40 | |
Aetna
| Professional | $69.20 | $69.22 | $90.00 | |
BCBS
| Facility | $76.48 | $115.57 | $216.86 | |
BCBS
| Professional | $69.62 | $69.62 | $79.06 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
United
| Facility | $71.38 | $71.38 | $71.38 | |
United
| Professional | $77.36 | $81.43 | $92.83 |