| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $63.10 | $64.57 | $109.65 | |
BCBS
| Professional | $117.49 | $138.04 | $138.04 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $64.57 | $64.57 | $91.20 | |
United
| Facility | $63.10 | $63.10 | $114.82 | |
United
| Professional | $64.57 | $64.57 | $70.79 |