| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.96 | $63.96 | $63.96 | |
Aetna
| Professional | $45.00 | $63.96 | $75.59 | |
BCBS
| Professional | $79.95 | $99.00 | $205.00 | |
Cigna
| Facility | $127.71 | $127.71 | $127.71 | |
Cigna
| Professional | $103.86 | $103.86 | $137.34 | |
United
| Professional | $26.86 | $26.86 | $63.96 |