| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $83.18 | |
Aetna
| Professional | $69.18 | $69.18 | $83.18 | |
BCBS
| Facility | $67.61 | $67.61 | $74.13 | |
Cigna
| Facility | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $69.18 | $69.18 | $69.18 | |
United
| Facility | $66.07 | $69.18 | $69.18 | |
United
| Professional | $64.57 | $69.18 | $107.15 |