| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.02 | $104.02 | $104.02 | |
Aetna
| Professional | $13.39 | $14.83 | $14.83 | |
BCBS
| Facility | $0.02 | $37.10 | $41.22 | |
Cigna
| Facility | $53.64 | $53.64 | $53.64 | |
Cigna
| Professional | $20.65 | $20.65 | $25.81 | |
United
| Professional | $6.33 | $10.85 | $26.09 |