| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.37 | $99.96 | $218.37 | |
Aetna
| Professional | $69.37 | $70.06 | $93.76 | |
BCBS
| Facility | $27.28 | $27.28 | $40.92 | |
BCBS
| Professional | $27.28 | $27.28 | $27.83 | |
Cigna
| Facility | $63.71 | $63.71 | $69.37 | |
Cigna
| Professional | $69.37 | $69.37 | $69.37 | |
United
| Professional | $62.43 | $69.37 | $81.92 |