| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.73 | $65.73 | $65.73 | |
Aetna
| Professional | $65.63 | $65.63 | $65.73 | |
BCBS
| Professional | $65.25 | $76.76 | $76.76 | |
Cigna
| Facility | $61.91 | $61.91 | $61.91 | |
Cigna
| Professional | $65.63 | $65.63 | $92.87 | |
United
| Facility | $127.76 | $127.76 | $140.54 | |
United
| Professional | $65.63 | $65.63 | $65.63 |