| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.05 | $73.05 | $73.05 | |
Aetna
| Professional | $73.20 | $77.83 | $81.28 | |
BCBS
| Professional | $81.29 | $95.63 | $95.63 | |
Cigna
| Facility | $69.06 | $69.06 | $69.06 | |
Cigna
| Professional | $73.20 | $89.77 | $103.59 | |
United
| Professional | $73.20 | $73.20 | $73.20 |