| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.52 | $71.52 | $73.39 | |
Aetna
| Professional | $71.52 | $72.23 | $79.45 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $71.52 | $71.52 | $71.52 | |
Cigna
| Facility | $71.52 | $71.52 | $71.52 | |
Cigna
| Professional | $71.52 | $71.52 | $159.46 | |
United
| Professional | $71.52 | $71.52 | $71.52 |