| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.41 | $51.41 | $51.41 | |
Aetna
| Professional | $51.41 | $51.41 | $78.92 | |
BCBS
| Professional | $103.70 | $122.00 | $122.00 | |
Cigna
| Facility | $74.45 | $74.45 | $74.45 | |
Cigna
| Professional | $78.92 | $78.92 | $111.67 | |
United
| Professional | $78.92 | $78.92 | $87.85 |