| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $74.13 | $154.88 | |
Aetna
| Professional | $72.44 | $72.44 | $100.00 | |
BCBS
| Facility | $77.62 | $97.72 | $229.09 | |
BCBS
| Professional | $66.07 | $66.07 | $109.65 | |
Cigna
| Facility | $72.44 | $72.44 | $181.97 | |
Cigna
| Professional | $72.44 | $144.54 | $288.40 | |
United
| Facility | $74.13 | $89.13 | $144.54 | |
United
| Professional | $74.13 | $77.62 | $89.13 |