| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.47 | $63.47 | $88.86 | |
Aetna
| Professional | $63.47 | $63.47 | $63.47 | |
BCBS
| Facility | $32.46 | $36.61 | $85.68 | |
BCBS
| Professional | $57.12 | $57.12 | $58.26 | |
Cigna
| Facility | $53.95 | $53.95 | $53.95 | |
Cigna
| Professional | $53.95 | $53.95 | $53.95 | |
United
| Professional | $52.89 | $52.89 | $63.47 |