| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.26 | $92.26 | $147.04 | |
Aetna
| Professional | $72.00 | $106.62 | $147.04 | |
BCBS
| Facility | $83.70 | $83.70 | $83.70 | |
BCBS
| Professional | $83.70 | $83.70 | $83.70 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $38.08 | $52.17 | |
United
| Professional | $63.35 | $106.96 | $169.36 |