| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $61.66 | $64.57 | $64.57 | |
BCBS
| Facility | $67.61 | $67.61 | $72.44 | |
BCBS
| Professional | $69.18 | $69.18 | $69.18 | |
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $64.57 | $64.57 | $64.57 |