| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.55 | $73.55 | $73.55 | |
Aetna
| Professional | $73.94 | $73.94 | $81.33 | |
BCBS
| Professional | $71.26 | $83.83 | $83.83 | |
Cigna
| Facility | $69.75 | $69.75 | $69.75 | |
Cigna
| Professional | $73.94 | $90.68 | $104.63 | |
United
| Professional | $73.94 | $73.94 | $73.94 |