| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.42 | $76.42 | $76.42 | |
Aetna
| Professional | $63.68 | $74.95 | $76.42 | |
BCBS
| Facility | $67.77 | $67.77 | $67.77 | |
BCBS
| Professional | $59.64 | $67.77 | $67.77 | |
Cigna
| Facility | $53.21 | $63.68 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
United
| Professional | $63.68 | $63.68 | $124.43 |