| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.51 | $113.51 | $113.51 | |
Aetna
| Professional | $53.73 | $113.51 | $113.51 | |
BCBS
| Professional | $93.67 | $93.67 | $93.67 | |
Cigna
| Facility | $83.99 | $83.99 | $129.84 | |
Cigna
| Professional | $61.31 | $83.99 | $113.69 | |
United
| Professional | $32.39 | $58.05 | $78.30 |