| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.43 | $81.30 | $173.33 | |
Aetna
| Professional | $78.93 | $79.72 | $94.90 | |
BCBS
| Facility | $68.66 | $80.56 | $92.73 | |
BCBS
| Professional | $87.71 | $87.71 | $89.46 | |
Cigna
| Facility | $74.47 | $74.47 | $78.93 | |
Cigna
| Professional | $78.93 | $78.93 | $78.93 | |
United
| Professional | $78.93 | $78.93 | $96.00 |