| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.09 | $80.66 | $147.30 | |
Aetna
| Professional | $42.13 | $70.64 | $117.23 | |
BCBS
| Facility | $79.08 | $79.08 | $102.80 | |
BCBS
| Professional | $69.56 | $76.73 | $92.07 | |
CareSource
| Facility | $72.23 | $77.09 | $79.45 | |
Cigna
| Facility | $60.00 | $75.00 | $90.00 | |
Cigna
| Professional | $51.50 | $94.06 | $127.19 | |
United
| Professional | $65.65 | $83.34 | $127.25 |