| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.50 | $90.00 | $90.00 | |
Aetna
| Professional | $61.50 | $63.75 | $90.00 | |
BCBS
| Facility | $51.75 | $51.75 | $51.75 | |
Cigna
| Facility | $63.75 | $63.75 | $74.40 | |
Cigna
| Professional | $63.75 | $63.75 | $63.75 | |
United
| Professional | $60.00 | $62.50 | $81.25 |