| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.86 | $76.86 | $107.60 | |
Aetna
| Professional | $76.86 | $76.86 | $76.86 | |
BCBS
| Facility | $17.30 | $17.30 | $25.95 | |
BCBS
| Professional | $17.30 | $17.30 | $17.64 | |
Cigna
| Facility | $65.33 | $65.33 | $65.33 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
United
| Professional | $64.05 | $64.05 | $76.86 |