| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.61 | $36.61 | $36.61 | |
Aetna
| Professional | $32.50 | $36.61 | $93.51 | |
BCBS
| Professional | $45.78 | $57.00 | $117.00 | |
Cigna
| Facility | $73.28 | $73.28 | $73.28 | |
Cigna
| Professional | $59.65 | $59.65 | $78.37 | |
United
| Professional | $15.38 | $15.38 | $36.61 |