| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.59 | $65.59 | $104.53 | |
Aetna
| Professional | $61.57 | $74.81 | $104.53 | |
BCBS
| Facility | $90.69 | $90.69 | $90.69 | |
BCBS
| Professional | $90.69 | $90.69 | $90.69 | |
Cigna
| Facility | $75.70 | $75.70 | $75.70 | |
Cigna
| Professional | $55.27 | $55.27 | $98.78 | |
United
| Professional | $35.04 | $55.56 | $92.45 |