| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.07 | $51.07 | $51.07 | |
Aetna
| Professional | $50.45 | $51.07 | $51.07 | |
BCBS
| Professional | $63.84 | $79.00 | $163.00 | |
Cigna
| Facility | $101.89 | $101.89 | $101.89 | |
Cigna
| Professional | $83.09 | $83.09 | $110.18 | |
United
| Professional | $21.45 | $21.45 | $51.07 |