| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.44 | $232.44 | $232.44 | |
Aetna
| Professional | $71.52 | $72.23 | $74.38 | |
BCBS
| Facility | $73.39 | $73.39 | $96.90 | |
BCBS
| Professional | $71.52 | $71.52 | $71.52 | |
Cigna
| Facility | $67.47 | $71.52 | $71.52 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
United
| Professional | $71.52 | $71.52 | $71.52 |