| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $110.73 | |
Aetna
| Professional | $73.81 | $73.81 | $81.20 | |
BCBS
| Facility | $80.09 | $80.09 | $80.09 | |
BCBS
| Professional | $76.59 | $80.09 | $80.09 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
United
| Professional | $70.13 | $77.51 | $83.42 |