| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.22 | $81.22 | $121.83 | |
Aetna
| Professional | $81.22 | $81.22 | $90.98 | |
BCBS
| Facility | $51.66 | $51.66 | $51.66 | |
Cigna
| Facility | $30.82 | $53.81 | $95.66 | |
Cigna
| Professional | $105.73 | $105.73 | $132.16 | |
United
| Facility | $45.88 | $45.88 | $45.88 |