| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.97 | $74.72 | $87.91 | |
Aetna
| Professional | $70.33 | $72.97 | $74.72 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $59.04 | $59.04 | $77.23 | |
Cigna
| Facility | $136.94 | $136.94 | $136.94 | |
Cigna
| Professional | $136.94 | $136.94 | $136.94 | |
United
| Facility | $226.91 | $306.88 | $306.88 | |
United
| Professional | $83.51 | $83.51 | $94.01 |