| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.75 | $63.75 | $63.75 | |
Aetna
| Professional | $61.50 | $63.75 | $106.01 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
Cigna
| Facility | $63.75 | $63.75 | $63.75 | |
Cigna
| Professional | $63.75 | $63.75 | $126.10 | |
United
| Professional | $62.50 | $62.50 | $62.50 |