| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $89.13 | $89.13 | |
Aetna
| Professional | $28.84 | $45.71 | $45.71 | |
BCBS
| Facility | $64.57 | $81.28 | $104.71 | |
Cigna
| Facility | $46.77 | $46.77 | $46.77 | |
Cigna
| Professional | $46.77 | $46.77 | $46.77 | |
United
| Professional | $43.65 | $45.71 | $45.71 |