| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.37 | $82.37 | $82.37 | |
Aetna
| Professional | $69.73 | $69.73 | $69.73 | |
BCBS
| Professional | $95.63 | $112.50 | $112.50 | |
Cigna
| Facility | $65.78 | $65.78 | $65.78 | |
Cigna
| Professional | $69.73 | $95.63 | $98.67 | |
United
| Professional | $27.89 | $69.73 | $69.73 |