| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.44 | $101.62 | $101.62 | |
Aetna
| Professional | $69.44 | $71.98 | $101.62 | |
BCBS
| Facility | $67.73 | $67.73 | $74.51 | |
Cigna
| Facility | $60.25 | $60.25 | $66.28 | |
Cigna
| Professional | $60.25 | $60.25 | $60.25 | |
United
| Professional | $67.75 | $70.56 | $91.74 |