| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.19 | $72.19 | $115.06 | |
Aetna
| Professional | $72.19 | $85.02 | $115.06 | |
BCBS
| Facility | $118.94 | $118.94 | $118.94 | |
BCBS
| Professional | $118.94 | $118.94 | $118.94 | |
Cigna
| Facility | $76.68 | $76.68 | $76.68 | |
Cigna
| Professional | $55.98 | $55.98 | $76.68 | |
United
| Facility | $48.52 | $71.01 | $71.01 | |
United
| Professional | $47.77 | $76.73 | $120.36 |