| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.90 | $74.90 | $74.90 | |
Aetna
| Professional | $62.41 | $65.53 | $74.90 | |
BCBS
| Facility | $64.89 | $64.89 | $64.89 | |
BCBS
| Professional | $64.89 | $64.89 | $65.69 | |
Cigna
| Facility | $58.88 | $62.41 | $62.41 | |
Cigna
| Professional | $62.41 | $62.41 | $67.70 | |
United
| Professional | $59.29 | $62.41 | $71.15 |