| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.77 | $71.77 | $71.77 | |
Aetna
| Professional | $33.97 | $71.77 | $71.77 | |
BCBS
| Professional | $59.23 | $59.23 | $59.23 | |
Cigna
| Facility | $40.77 | $40.77 | $63.04 | |
Cigna
| Professional | $29.76 | $29.76 | $75.73 | |
United
| Professional | $20.74 | $34.53 | $49.63 |