| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.09 | $73.09 | $73.09 | |
Aetna
| Professional | $43.86 | $73.09 | $73.09 | |
BCBS
| Facility | $67.92 | $67.92 | $74.72 | |
BCBS
| Professional | $64.69 | $64.69 | $64.69 | |
Cigna
| Professional | $0.09 | $0.09 | $0.09 | |
United
| Professional | $27.76 | $74.03 | $92.61 |