| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.86 | $74.86 | $74.86 | |
Aetna
| Professional | $74.86 | $74.86 | $75.97 | |
BCBS
| Professional | $74.29 | $87.40 | $87.40 | |
Cigna
| Facility | $71.67 | $71.67 | $71.67 | |
Cigna
| Professional | $75.97 | $75.97 | $107.51 | |
United
| Professional | $75.97 | $75.97 | $75.97 |