| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.70 | $59.70 | $59.70 | |
Aetna
| Professional | $59.41 | $59.41 | $59.70 | |
BCBS
| Professional | $70.18 | $82.56 | $82.56 | |
Cigna
| Facility | $56.05 | $56.05 | $56.05 | |
Cigna
| Professional | $59.41 | $59.41 | $84.08 | |
United
| Professional | $59.41 | $59.41 | $59.41 |