| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.52 | $256.52 | $256.52 | |
Aetna
| Professional | $78.93 | $78.93 | $82.09 | |
BCBS
| Facility | $78.43 | $78.43 | $82.87 | |
BCBS
| Professional | $78.93 | $78.93 | $78.93 | |
Cigna
| Facility | $74.47 | $78.93 | $78.93 | |
Cigna
| Professional | $78.93 | $78.93 | $78.93 | |
United
| Professional | $78.93 | $78.93 | $78.93 |