| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.36 | $81.36 | $129.66 | |
Aetna
| Professional | $78.31 | $107.88 | $129.66 | |
BCBS
| Facility | $112.50 | $112.50 | $112.50 | |
BCBS
| Professional | $112.50 | $112.50 | $112.50 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $73.31 | $100.43 | |
United
| Professional | $48.28 | $68.92 | $114.56 |