| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.43 | $78.43 | $78.43 | |
Aetna
| Professional | $78.43 | $78.43 | $78.93 | |
BCBS
| Professional | $81.59 | $96.00 | $96.00 | |
Cigna
| Facility | $74.47 | $74.47 | $74.47 | |
Cigna
| Professional | $78.93 | $78.93 | $111.70 | |
United
| Professional | $78.93 | $78.93 | $78.93 |