| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.10 | $66.53 | $78.80 | |
Aetna
| Professional | $58.88 | $71.20 | $89.41 | |
BCBS
| Facility | $77.63 | $77.63 | $77.63 | |
BCBS
| Professional | $70.59 | $87.57 | $121.18 | |
Cigna
| Facility | $89.84 | $89.84 | $89.84 | |
Cigna
| Professional | $75.29 | $90.30 | $163.55 | |
United
| Professional | $67.80 | $83.76 | $130.85 | |
United
| Professional | 25 | $92.81 | $92.81 | $92.81 |