| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.55 | $246.55 | $246.55 | |
Aetna
| Professional | $75.86 | $75.86 | $78.89 | |
BCBS
| Facility | $75.86 | $75.86 | $87.14 | |
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Facility | $71.56 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $75.86 | $75.86 | $75.86 |