| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.71 | $246.71 | $246.71 | |
Aetna
| Professional | $75.91 | $76.65 | $78.94 | |
BCBS
| Facility | $73.16 | $73.16 | $80.55 | |
BCBS
| Professional | $75.91 | $75.91 | $75.91 | |
Cigna
| Facility | $71.61 | $75.91 | $75.91 | |
Cigna
| Professional | $75.91 | $75.91 | $75.91 | |
United
| Professional | $75.91 | $75.91 | $75.91 |