| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.56 | $66.56 | $99.84 | |
Aetna
| Professional | $66.56 | $66.56 | $104.00 | |
BCBS
| Facility | $62.82 | $62.82 | $62.82 | |
BCBS
| Professional | $62.82 | $62.82 | $62.82 | |
Cigna
| Facility | $62.32 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
United
| Professional | $60.52 | $66.89 | $76.58 |