| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.31 | $107.28 | $107.28 | |
Aetna
| Professional | $73.31 | $75.98 | $107.28 | |
BCBS
| Facility | $67.05 | $67.05 | $67.05 | |
Cigna
| Facility | $75.98 | $75.98 | $75.98 | |
Cigna
| Professional | $75.98 | $75.98 | $75.98 | |
United
| Professional | $71.52 | $74.50 | $95.36 |