| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.76 | $51.76 | $51.76 | |
Aetna
| Professional | $51.76 | $59.63 | $79.81 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $93.13 | $93.13 | $93.13 | |
Cigna
| Professional | $93.13 | $93.13 | $93.13 | |
United
| Professional | $91.30 | $91.30 | $91.30 |