| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.59 | $103.59 | $103.59 | |
Aetna
| Professional | $49.04 | $103.59 | $103.59 | |
BCBS
| Professional | $85.48 | $85.48 | $85.48 | |
Cigna
| Facility | $87.42 | $87.42 | $135.16 | |
Cigna
| Professional | $63.82 | $87.42 | $118.36 | |
United
| Professional | $33.72 | $50.57 | $78.88 |