| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.27 | $77.27 | $77.27 | |
Aetna
| Professional | $77.27 | $77.27 | $77.39 | |
BCBS
| Professional | $76.77 | $90.32 | $90.32 | |
Cigna
| Facility | $73.01 | $73.01 | $73.01 | |
Cigna
| Professional | $77.39 | $77.39 | $109.51 | |
United
| Professional | $77.39 | $77.39 | $86.68 |