| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.24 | $235.24 | $235.24 | |
Aetna
| Professional | $57.90 | $61.52 | $61.52 | |
BCBS
| Facility | $61.52 | $63.94 | $67.56 | |
BCBS
| Professional | $65.14 | $65.14 | $65.14 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
United
| Professional | $60.32 | $60.32 | $63.94 |