| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.04 | $57.04 | $57.04 | |
Aetna
| Professional | $28.52 | $77.00 | $98.89 | |
BCBS
| Professional | $71.30 | $88.00 | $183.00 | |
Cigna
| Facility | $113.75 | $113.75 | $113.75 | |
Cigna
| Professional | $92.67 | $92.67 | $122.60 | |
United
| Professional | $23.96 | $23.96 | $57.04 |