| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.34 | $68.34 | $80.67 | |
Aetna
| Professional | $69.20 | $69.22 | $69.22 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
United
| Professional | $77.36 | $77.36 | $81.43 |