| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.00 | $84.00 | $117.60 | |
Aetna
| Professional | $84.00 | $84.00 | $84.00 | |
BCBS
| Facility | $49.99 | $75.59 | $97.97 | |
BCBS
| Professional | $75.59 | $75.59 | $77.11 | |
Cigna
| Facility | $71.40 | $71.40 | $71.40 | |
Cigna
| Professional | $71.40 | $71.40 | $71.40 | |
United
| Professional | $79.80 | $79.80 | $99.75 |