| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.72 | $71.40 | $154.23 | |
Aetna
| Professional | $67.20 | $69.72 | $71.40 | |
BCBS
| Facility | $0.02 | $0.03 | $0.04 | |
BCBS
| Professional | $54.00 | $63.00 | $77.28 | |
Cigna
| Facility | $71.40 | $71.40 | $71.40 | |
Cigna
| Professional | $71.40 | $71.40 | $71.40 | |
United
| Professional | $79.80 | $79.80 | $87.78 |