| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.29 | $61.29 | $61.29 | |
Aetna
| Professional | $66.43 | $71.68 | $77.36 | |
BCBS
| Professional | $69.22 | $81.43 | $81.43 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
United
| Professional | $81.43 | $87.42 | $92.83 |