| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.28 | $105.41 | $189.44 | |
Aetna
| Professional | $87.28 | $87.98 | $105.20 | |
BCBS
| Facility | $87.28 | $140.52 | $276.58 | |
BCBS
| Professional | $87.28 | $87.28 | $87.28 | |
Cigna
| Facility | $82.34 | $87.28 | $87.28 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
United
| Professional | $87.28 | $87.28 | $96.01 |