| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.23 | $80.23 | $80.23 | |
Aetna
| Professional | $46.12 | $62.39 | $80.23 | |
BCBS
| Professional | $66.70 | $66.70 | $66.70 | |
Cigna
| Facility | $63.23 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $67.20 | $84.75 | |
United
| Facility | $105.88 | $105.88 | $124.56 | |
United
| Professional | $34.54 | $51.83 | $78.06 |