| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $69.18 | $69.18 | |
Aetna
| Professional | $47.86 | $63.10 | $67.61 | |
BCBS
| Professional | $87.10 | $107.15 | $218.78 | |
Cigna
| Professional | $79.43 | $79.43 | $100.00 | |
United
| Facility | $69.18 | $69.18 | $69.18 | |
United
| Professional | $28.84 | $33.88 | $81.28 |