| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.45 | $51.45 | $51.45 | |
Aetna
| Professional | $32.50 | $39.31 | $93.51 | |
BCBS
| Professional | $64.31 | $80.00 | $165.00 | |
Cigna
| Facility | $102.59 | $102.59 | $102.59 | |
Cigna
| Professional | $83.62 | $83.62 | $110.96 | |
United
| Professional | $21.61 | $21.61 | $51.45 |