| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.35 | $31.35 | $31.35 | |
Aetna
| Professional | $31.35 | $31.35 | $36.69 | |
BCBS
| Professional | $79.69 | $93.75 | $93.75 | |
Cigna
| Facility | $34.61 | $34.61 | $34.61 | |
Cigna
| Professional | $36.69 | $36.69 | $51.92 | |
United
| Professional | $36.69 | $36.69 | $36.69 |