| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.52 | $61.52 | $127.39 | |
Aetna
| Professional | $57.90 | $60.08 | $61.52 | |
BCBS
| Facility | $72.11 | $107.01 | $186.50 | |
BCBS
| Professional | $60.32 | $61.70 | $101.24 | |
Cigna
| Facility | $61.52 | $61.52 | $79.50 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
United
| Professional | $60.32 | $60.32 | $67.90 |