| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.66 | $71.66 | $71.66 | |
Aetna
| Professional | $66.64 | $66.64 | $71.66 | |
BCBS
| Professional | $90.77 | $106.79 | $106.79 | |
Cigna
| Facility | $62.87 | $62.87 | $62.87 | |
Cigna
| Professional | $66.64 | $66.64 | $94.30 | |
United
| Professional | $66.64 | $66.64 | $74.64 |