| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.94 | $91.29 | $217.35 | |
Aetna
| Professional | $86.94 | $88.16 | $105.20 | |
BCBS
| Facility | $56.61 | $66.42 | $90.13 | |
BCBS
| Professional | $90.13 | $90.13 | $91.93 | |
Cigna
| Facility | $82.34 | $82.34 | $87.28 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
United
| Professional | $87.28 | $87.28 | $117.46 |