| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.88 | $68.88 | $278.48 | |
Aetna
| Professional | $68.88 | $68.88 | $71.40 | |
BCBS
| Professional | $17.73 | $73.92 | $91.73 | |
Cigna
| Facility | $71.40 | $71.40 | $71.40 | |
Cigna
| Professional | $71.40 | $71.40 | $71.40 | |
Medcost
| Facility | $33.00 | $60.35 | $92.40 | |
United
| Professional | $79.80 | $79.80 | $79.80 |