| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.75 | $80.75 | $80.75 | |
Aetna
| Professional | $80.75 | $80.75 | $80.91 | |
BCBS
| Professional | $79.45 | $93.48 | $93.48 | |
Cigna
| Facility | $76.33 | $76.33 | $76.33 | |
Cigna
| Professional | $80.91 | $80.91 | $114.50 | |
United
| Professional | $80.91 | $80.91 | $80.91 |