| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $95.50 | $144.54 | |
Aetna
| Professional | $69.18 | $95.50 | $190.55 | |
BCBS
| Professional | $0.02 | $61.66 | $61.66 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
United
| Professional | $79.43 | $162.18 | $204.17 |