| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.85 | $243.85 | $243.85 | |
Aetna
| Professional | $75.03 | $75.78 | $78.03 | |
BCBS
| Facility | $76.18 | $76.18 | $105.97 | |
BCBS
| Professional | $75.03 | $75.03 | $75.03 | |
Cigna
| Facility | $75.02 | $75.02 | $75.02 | |
Cigna
| Professional | $75.02 | $75.02 | $75.02 | |
United
| Professional | $75.03 | $75.03 | $83.52 |