| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.07 | $83.07 | $83.07 | |
Aetna
| Professional | $39.33 | $83.07 | $83.07 | |
BCBS
| Professional | $68.55 | $68.55 | $68.55 | |
Cigna
| Facility | $65.20 | $65.20 | $100.82 | |
Cigna
| Professional | $47.60 | $65.20 | $88.27 | |
United
| Professional | $25.15 | $41.87 | $57.72 |