| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.38 | $59.38 | $94.64 | |
Aetna
| Professional | $59.38 | $78.84 | $94.64 | |
BCBS
| Facility | $82.11 | $82.11 | $82.11 | |
BCBS
| Professional | $82.11 | $82.11 | $82.11 | |
Cigna
| Facility | $66.37 | $66.37 | $66.37 | |
Cigna
| Professional | $48.45 | $48.45 | $66.37 | |
United
| Professional | $34.77 | $50.30 | $80.37 |