| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.41 | $62.41 | $64.29 | |
Aetna
| Professional | $62.41 | $62.41 | $68.66 | |
BCBS
| Facility | $62.41 | $62.41 | $117.42 | |
BCBS
| Professional | $62.41 | $62.41 | $63.65 | |
Cigna
| Facility | $60.64 | $62.41 | $62.41 | |
Cigna
| Professional | $62.41 | $62.41 | $70.66 | |
United
| Facility | $189.90 | $189.90 | $189.90 | |
United
| Professional | $62.41 | $62.41 | $71.45 |