| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.73 | $77.73 | $123.88 | |
Aetna
| Professional | $77.73 | $106.09 | $123.88 | |
BCBS
| Facility | $107.48 | $107.48 | $107.48 | |
BCBS
| Professional | $107.48 | $107.48 | $107.48 | |
Cigna
| Facility | $86.66 | $86.66 | $86.66 | |
Cigna
| Professional | $63.26 | $63.26 | $86.66 | |
United
| Professional | $46.13 | $65.84 | $106.62 |