| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $81.28 | |
Aetna
| Professional | $39.81 | $41.69 | $50.12 | |
BCBS
| Facility | $338.84 | $338.84 | $380.19 | |
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $40.74 | $40.74 | $44.67 |