| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.83 | $81.68 | $108.92 | |
Aetna
| Professional | $80.83 | $81.68 | $95.43 | |
BCBS
| Professional | $21.00 | $21.00 | $21.00 | |
Cigna
| Facility | $80.29 | $80.29 | $80.29 | |
Cigna
| Professional | $80.29 | $80.29 | $80.29 | |
United
| Professional | $24.54 | $54.13 | $116.75 |