| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $63.28 | $69.29 | |
Aetna
| Professional | $63.28 | $69.29 | $72.38 | |
BCBS
| Professional | $42.13 | $48.49 | $51.18 | |
Cigna
| Facility | $127.68 | $127.68 | $127.68 | |
Cigna
| Professional | $104.92 | $104.92 | $104.92 | |
United
| Professional | $50.00 | $50.00 | $50.00 |