| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.15 | $75.15 | $75.15 | |
Aetna
| Professional | $75.15 | $75.15 | $82.66 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $72.20 | $72.20 | $72.20 | |
Cigna
| Facility | $80.88 | $80.88 | $80.88 | |
Cigna
| Professional | $80.88 | $80.88 | $95.13 | |
United
| Professional | $72.20 | $81.59 | $86.51 |