| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.78 | $80.78 | $126.22 | |
Aetna
| Professional | $75.81 | $120.74 | $126.22 | |
BCBS
| Facility | $111.70 | $111.70 | $111.70 | |
BCBS
| Professional | $111.70 | $111.70 | $111.70 | |
Cigna
| Facility | $90.07 | $90.07 | $90.07 | |
Cigna
| Professional | $65.75 | $65.75 | $90.07 | |
United
| Professional | $47.94 | $71.91 | $113.86 |