| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.58 | $102.15 | $236.40 | |
Aetna
| Professional | $78.80 | $82.52 | $108.21 | |
BCBS
| Facility | $78.80 | $125.87 | $249.72 | |
BCBS
| Professional | $78.80 | $78.80 | $86.49 | |
Cigna
| Facility | $74.33 | $78.79 | $78.79 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
United
| Facility | $78.75 | $78.75 | $78.75 | |
United
| Professional | $78.80 | $78.80 | $98.50 |