| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.14 | $69.93 | $83.23 | |
Aetna
| Professional | $69.20 | $69.22 | $76.14 | |
BCBS
| Facility | $77.36 | $77.36 | $116.04 | |
BCBS
| Professional | $77.36 | $77.36 | $78.91 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
United
| Professional | $69.62 | $81.43 | $92.83 |