| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $91.20 | |
Aetna
| Professional | $75.86 | $75.86 | $91.20 | |
BCBS
| Facility | $72.44 | $72.44 | $72.44 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Facility | $79.43 | $85.11 | $85.11 | |
United
| Professional | $72.44 | $75.86 | $117.49 |