| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.47 | $74.16 | $74.58 | |
Aetna
| Professional | $61.80 | $62.40 | $74.16 | |
BCBS
| Facility | $63.57 | $63.57 | $63.57 | |
BCBS
| Professional | $63.57 | $63.57 | $86.62 | |
Cigna
| Facility | $55.28 | $61.80 | $61.80 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
United
| Professional | $61.80 | $61.80 | $237.44 |