| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.85 | $200.85 | $200.85 | |
Aetna
| Professional | $61.80 | $61.80 | $64.27 | |
BCBS
| Facility | $61.91 | $62.15 | $237.44 | |
BCBS
| Professional | $61.80 | $61.80 | $61.80 | |
Cigna
| Facility | $55.28 | $61.80 | $61.80 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
United
| Professional | $61.80 | $61.80 | $61.80 |