| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.56 | $66.56 | $66.56 | |
Aetna
| Professional | $66.56 | $66.56 | $73.20 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $62.82 | $62.82 | $62.82 | |
Cigna
| Facility | $70.36 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $79.44 | |
United
| Professional | $63.70 | $71.98 | $76.58 |