| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.89 | $67.89 | $67.89 | |
Aetna
| Professional | $65.48 | $67.89 | $112.89 | |
BCBS
| Professional | $59.10 | $66.56 | $66.56 | |
Cigna
| Facility | $67.89 | $67.89 | $67.89 | |
Cigna
| Professional | $33.15 | $67.89 | $67.89 | |
United
| Professional | $66.56 | $66.56 | $66.56 |