| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.88 | $68.88 | $100.80 | |
Aetna
| Professional | $68.88 | $100.80 | $113.40 | |
BCBS
| Professional | $74.52 | $74.52 | $74.52 | |
Cigna
| Facility | $71.40 | $71.40 | $71.40 | |
Cigna
| Professional | $71.40 | $71.40 | $71.40 | |
United
| Professional | $76.61 | $79.80 | $103.74 |