| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.50 | $38.50 | $75.67 | |
Aetna
| Professional | $63.06 | $66.20 | $75.67 | |
BCBS
| Facility | $117.18 | $117.18 | $117.18 | |
Cigna
| Facility | $63.06 | $63.06 | $97.06 | |
Cigna
| Professional | $63.06 | $63.06 | $63.06 | |
United
| Professional | $63.06 | $64.31 | $87.38 |