| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.97 | $19.97 | $191.24 | |
Aetna
| Professional | $19.97 | $19.97 | $128.93 | |
BCBS
| Professional | $116.04 | $145.04 | $170.64 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $79.20 | $119.40 | $170.64 | |
United
| Professional | $92.54 | $122.40 | $182.70 |