| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.19 | $94.72 | $94.72 | |
Aetna
| Professional | $78.93 | $87.69 | $94.72 | |
BCBS
| Facility | $85.09 | $85.09 | $85.09 | |
BCBS
| Professional | $82.75 | $85.09 | $85.09 | |
Cigna
| Facility | $74.47 | $78.93 | $78.93 | |
Cigna
| Professional | $78.93 | $78.93 | $78.93 | |
United
| Professional | $78.93 | $78.93 | $81.59 |