| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $44.67 | $57.54 | $131.83 | |
BCBS
| Professional | $141.25 | $213.80 | $213.80 | |
Cigna
| Professional | $42.66 | $87.10 | $141.25 | |
United
| Facility | $75.86 | $75.86 | $75.86 | |
United
| Professional | $42.66 | $95.50 | $151.36 |