| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $91.20 | |
Aetna
| Professional | $75.86 | $81.28 | $123.03 | |
BCBS
| Facility | $83.18 | $83.18 | $83.18 | |
BCBS
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Facility | $72.44 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Professional | $75.86 | $75.86 | $81.28 |