| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $63.10 | $107.15 | |
Aetna
| Professional | $61.66 | $61.66 | $85.11 | |
BCBS
| Facility | $63.10 | $79.43 | $288.40 | |
BCBS
| Professional | $63.10 | $81.28 | $117.49 | |
Cigna
| Facility | $58.88 | $63.10 | $181.97 | |
Cigna
| Professional | $63.10 | $63.10 | $81.28 | |
United
| Facility | $63.10 | $93.33 | $316.23 | |
United
| Professional | $63.10 | $89.13 | $125.89 |