| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.97 | $79.97 | $95.63 | |
Aetna
| Professional | $66.64 | $79.97 | $86.00 | |
BCBS
| Facility | $77.75 | $77.75 | $77.75 | |
BCBS
| Professional | $67.59 | $77.75 | $77.75 | |
Cigna
| Facility | $62.87 | $66.64 | $67.93 | |
Cigna
| Professional | $66.64 | $66.64 | $66.64 | |
United
| Professional | $66.64 | $66.64 | $95.09 |