| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.81 | $108.58 | $221.28 | |
Aetna
| Professional | $69.73 | $70.43 | $99.67 | |
BCBS
| Facility | $81.15 | $111.57 | $212.39 | |
BCBS
| Professional | $69.73 | $69.73 | $82.37 | |
Cigna
| Facility | $65.78 | $69.73 | $95.63 | |
Cigna
| Professional | $69.73 | $69.73 | $95.63 | |
United
| Professional | $27.89 | $69.73 | $86.95 |