| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $72.44 | |
Aetna
| Professional | $60.26 | $60.26 | $72.44 | |
BCBS
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $60.26 | $85.11 | $91.20 | |
United
| Professional | $57.54 | $60.26 | $109.65 |