| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.34 | $67.34 | $107.33 | |
Aetna
| Professional | $63.22 | $76.81 | $107.33 | |
BCBS
| Facility | $93.12 | $93.12 | $93.12 | |
BCBS
| Professional | $93.12 | $93.12 | $93.12 | |
Cigna
| Facility | $75.09 | $75.09 | $75.09 | |
Cigna
| Professional | $54.82 | $54.82 | $75.09 | |
United
| Professional | $39.97 | $57.05 | $92.38 |