| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.26 | $92.72 | $92.87 | |
Aetna
| Professional | $77.39 | $81.26 | $104.48 | |
BCBS
| Facility | $58.72 | $58.72 | $59.00 | |
Cigna
| Facility | $42.32 | $77.39 | $77.39 | |
Cigna
| Professional | $77.39 | $77.39 | $77.39 | |
United
| Professional | $77.39 | $77.39 | $95.58 |