| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.45 | $74.45 | $74.45 | |
Aetna
| Professional | $74.36 | $75.09 | $86.26 | |
BCBS
| Professional | $76.54 | $90.05 | $90.05 | |
Cigna
| Facility | $70.15 | $70.15 | $70.15 | |
Cigna
| Professional | $74.36 | $91.20 | $105.23 | |
United
| Professional | $74.36 | $74.36 | $74.36 |