| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.49 | $33.49 | $33.49 | |
Aetna
| Professional | $33.49 | $33.49 | $37.67 | |
BCBS
| Facility | $76.20 | $92.49 | $124.43 | |
Cigna
| Facility | $111.38 | $158.82 | $272.39 | |
United
| Professional | $31.25 | $40.60 | $58.75 |