| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.48 | $100.48 | $100.48 | |
Aetna
| Professional | $47.56 | $100.48 | $100.48 | |
BCBS
| Professional | $82.92 | $82.92 | $82.92 | |
Cigna
| Facility | $64.62 | $64.62 | $99.86 | |
Cigna
| Professional | $47.17 | $64.62 | $87.44 | |
United
| Professional | $29.03 | $47.24 | $69.47 |