| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.57 | $82.57 | $195.78 | |
Aetna
| Professional | $82.57 | $82.58 | $91.74 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $82.58 | $82.58 | $83.99 | |
Cigna
| Facility | $82.57 | $82.57 | $82.57 | |
Cigna
| Professional | $82.57 | $82.57 | $147.35 | |
United
| Professional | $82.58 | $82.58 | $82.58 |