| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.42 | $213.36 | $213.36 | |
Aetna
| Professional | $82.42 | $82.58 | $207.94 | |
BCBS
| Professional | $84.49 | $99.40 | $99.40 | |
Cigna
| Facility | $77.90 | $77.90 | $77.90 | |
Cigna
| Professional | $82.57 | $82.57 | $116.85 | |
United
| Professional | $82.58 | $82.58 | $82.58 |