| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.49 | $58.49 | $58.49 | |
Aetna
| Professional | $29.25 | $29.25 | $29.25 | |
BCBS
| Professional | $73.11 | $91.00 | $187.00 | |
Cigna
| Facility | $117.24 | $117.24 | $117.24 | |
Cigna
| Professional | $95.34 | $95.34 | $125.70 | |
United
| Professional | $24.57 | $24.57 | $58.49 |