| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.17 | $85.17 | $85.17 | |
Aetna
| Professional | $40.32 | $60.36 | $85.17 | |
BCBS
| Professional | $62.67 | $62.67 | $62.67 | |
Cigna
| Facility | $58.60 | $58.60 | $93.91 | |
Cigna
| Professional | $42.78 | $58.60 | $92.22 | |
United
| Professional | $27.91 | $41.86 | $64.86 |