| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.80 | $64.80 | $64.80 | |
Aetna
| Professional | $64.80 | $64.80 | $70.40 | |
BCBS
| Professional | $63.66 | $82.09 | $88.85 | |
Cigna
| Facility | $89.45 | $89.45 | $89.45 | |
Cigna
| Professional | $27.79 | $27.79 | $27.79 | |
United
| Professional | $50.00 | $50.00 | $50.00 |