| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.47 | $78.47 | $78.47 | |
Aetna
| Professional | $78.37 | $79.15 | $90.91 | |
BCBS
| Professional | $85.32 | $100.38 | $100.38 | |
Cigna
| Facility | $73.93 | $73.93 | $73.93 | |
Cigna
| Professional | $78.37 | $96.11 | $110.90 | |
United
| Professional | $78.37 | $78.37 | $78.37 |