| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.15 | $65.26 | $155.38 | |
Aetna
| Professional | $61.79 | $62.41 | $75.20 | |
BCBS
| Facility | $94.13 | $94.13 | $141.19 | |
BCBS
| Professional | $94.13 | $94.13 | $96.01 | |
Cigna
| Facility | $55.28 | $55.28 | $61.80 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
United
| Professional | $61.80 | $61.80 | $129.10 |