| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.69 | $79.69 | $79.69 | |
Aetna
| Professional | $77.81 | $77.81 | $79.69 | |
BCBS
| Facility | $82.68 | $82.68 | $82.68 | |
BCBS
| Professional | $82.68 | $82.68 | $82.68 | |
Cigna
| Facility | $48.09 | $79.50 | $82.50 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
United
| Professional | $81.78 | $90.69 | $90.69 |