| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $104.71 | |
Aetna
| Professional | $87.10 | $87.10 | $104.71 | |
BCBS
| Facility | $70.79 | $70.79 | $77.62 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $87.10 | $87.10 | $87.10 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $83.18 | $87.10 | $134.90 |