| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $75.86 | $75.86 | $128.82 | |
BCBS
| Professional | $81.28 | $95.50 | $95.50 | |
Cigna
| Facility | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $75.86 | $75.86 | $107.15 | |
United
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Professional | $75.86 | $75.86 | $75.86 |