| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.80 | $47.80 | $47.80 | |
Aetna
| Professional | $45.77 | $45.77 | $45.77 | |
BCBS
| Professional | $89.05 | $104.76 | $104.76 | |
Cigna
| Facility | $42.75 | $42.75 | $42.75 | |
Cigna
| Professional | $45.31 | $45.31 | $64.12 | |
United
| Professional | $45.31 | $45.31 | $50.75 |