| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.27 | $65.27 | $104.02 | |
Aetna
| Professional | $62.14 | $74.45 | $104.02 | |
BCBS
| Facility | $90.25 | $90.25 | $90.25 | |
BCBS
| Professional | $90.25 | $90.25 | $90.25 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $47.20 | $47.20 | $64.66 | |
United
| Professional | $34.42 | $55.29 | $86.74 |