| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.70 | $68.70 | $68.70 | |
Aetna
| Professional | $66.29 | $68.70 | $114.27 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $71.41 | $71.41 | $71.41 | |
Cigna
| Professional | $133.13 | $133.13 | $133.13 | |
United
| Professional | $80.84 | $80.84 | $80.84 |