| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.33 | $65.33 | $152.66 | |
Aetna
| Professional | $63.79 | $65.33 | $70.16 | |
BCBS
| Facility | $73.02 | $73.02 | $73.02 | |
BCBS
| Professional | $73.02 | $73.02 | $73.02 | |
Cigna
| Facility | $51.00 | $65.33 | $65.33 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
United
| Professional | $64.05 | $64.05 | $65.97 |