| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.70 | $68.70 | $68.70 | |
Aetna
| Professional | $67.09 | $67.09 | $68.70 | |
BCBS
| Facility | $74.26 | $74.26 | $74.26 | |
BCBS
| Professional | $74.26 | $74.26 | $74.26 | |
Cigna
| Facility | $37.46 | $37.46 | $74.09 | |
United
| Professional | $72.90 | $80.84 | $80.84 |