| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.58 | $89.58 | $142.77 | |
Aetna
| Professional | $81.84 | $102.18 | $142.77 | |
BCBS
| Facility | $123.86 | $123.86 | $123.86 | |
BCBS
| Professional | $123.86 | $123.86 | $123.86 | |
Cigna
| Facility | $85.16 | $85.16 | $85.16 | |
Cigna
| Professional | $62.17 | $62.17 | $85.16 | |
United
| Professional | $45.32 | $74.36 | $119.03 |