| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.62 | $64.62 | $75.05 | |
Aetna
| Professional | $64.62 | $64.62 | $129.09 | |
BCBS
| Professional | $64.62 | $64.62 | $85.21 | |
Cigna
| Facility | $64.62 | $64.62 | $64.62 | |
Cigna
| Professional | $64.62 | $64.62 | $116.39 | |
United
| Professional | $64.62 | $64.62 | $64.62 |