| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $316.23 | $489.78 | |
Aetna
| Professional | $52.48 | $54.95 | $56.23 | |
BCBS
| Facility | $60.26 | $60.26 | $63.10 | |
BCBS
| Professional | $60.26 | $60.26 | $60.26 | |
Cigna
| Facility | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $56.23 | $56.23 | $56.23 | |
United
| Professional | $56.23 | $56.23 | $56.23 |