| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.53 | $84.53 | $84.53 | |
Aetna
| Professional | $84.57 | $84.57 | $93.03 | |
BCBS
| Professional | $83.82 | $98.61 | $98.61 | |
Cigna
| Facility | $79.78 | $79.78 | $79.78 | |
Cigna
| Professional | $84.57 | $103.72 | $119.68 | |
United
| Professional | $84.57 | $84.57 | $84.57 |