| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $131.83 | |
Aetna
| Professional | $64.57 | $77.62 | $131.83 | |
BCBS
| Facility | $114.82 | $114.82 | $114.82 | |
BCBS
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Facility | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $60.26 | $60.26 | $81.28 | |
United
| Facility | $44.67 | $117.49 | $177.83 | |
United
| Professional | $43.65 | $69.18 | $100.00 |