| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.26 | $76.27 | $152.00 | |
Aetna
| Professional | $36.10 | $76.27 | $76.27 | |
BCBS
| Professional | $62.94 | $62.94 | $62.94 | |
Cigna
| Facility | $46.45 | $46.45 | $72.12 | |
Cigna
| Professional | $33.90 | $33.90 | $83.63 | |
United
| Professional | $23.99 | $35.97 | $57.45 |