| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.31 | $39.31 | $39.31 | |
Aetna
| Professional | $32.50 | $39.31 | $93.51 | |
BCBS
| Professional | $49.14 | $61.00 | $126.00 | |
Cigna
| Facility | $78.86 | $78.86 | $78.86 | |
Cigna
| Professional | $63.91 | $63.91 | $84.58 | |
United
| Professional | $16.51 | $16.51 | $39.31 |