| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $69.18 | $104.71 | |
Aetna
| Professional | $63.10 | $69.18 | $69.18 | |
BCBS
| Professional | $0.04 | $48.98 | $75.86 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $85.11 | $104.71 | $645.65 | |
United
| Professional | $34.67 | $50.12 | $60.26 |