| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.13 | $93.13 | $93.13 | |
Aetna
| Professional | $44.09 | $93.13 | $93.13 | |
BCBS
| Professional | $76.86 | $76.86 | $76.86 | |
Cigna
| Facility | $75.47 | $75.47 | $121.24 | |
Cigna
| Professional | $55.09 | $75.47 | $106.16 | |
United
| Professional | $34.34 | $51.06 | $77.59 |