| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.81 | $93.52 | $140.28 | |
Aetna
| Professional | $93.52 | $93.52 | $126.71 | |
BCBS
| Facility | $51.66 | $51.66 | $51.66 | |
Cigna
| Facility | $30.82 | $49.94 | $95.66 | |
Cigna
| Professional | $62.78 | $62.78 | $78.47 | |
United
| Facility | $45.88 | $45.88 | $45.88 |