| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.38 | $63.38 | $63.38 | |
Aetna
| Professional | $79.86 | $79.86 | $87.85 | |
BCBS
| Professional | $134.84 | $158.63 | $158.63 | |
Cigna
| Facility | $75.34 | $75.34 | $75.34 | |
Cigna
| Professional | $79.86 | $97.94 | $113.01 | |
United
| Professional | $79.86 | $79.86 | $79.86 |