| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.03 | $76.86 | $205.20 | |
Aetna
| Professional | $61.49 | $63.79 | $70.16 | |
BCBS
| Facility | $72.50 | $97.37 | $198.04 | |
BCBS
| Professional | $50.99 | $64.05 | $75.59 | |
Cigna
| Facility | $65.33 | $65.33 | $65.33 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
United
| Professional | $64.05 | $64.05 | $76.86 |