| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.45 | $225.45 | $225.45 | |
Aetna
| Professional | $69.37 | $69.37 | $72.84 | |
BCBS
| Facility | $74.17 | $77.48 | $80.34 | |
BCBS
| Professional | $69.37 | $69.37 | $69.37 | |
Cigna
| Facility | $69.37 | $69.37 | $69.37 | |
Cigna
| Professional | $69.37 | $69.37 | $69.37 | |
United
| Professional | $69.37 | $69.37 | $77.22 |