| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.36 | $91.03 | $91.04 | |
Aetna
| Professional | $75.86 | $91.03 | $91.04 | |
BCBS
| Facility | $82.31 | $82.31 | $82.31 | |
BCBS
| Professional | $74.98 | $82.31 | $82.31 | |
Cigna
| Facility | $56.31 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $75.86 | $75.86 | $87.14 |