| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.37 | $78.37 | $78.37 | |
Aetna
| Professional | $37.11 | $77.61 | $78.37 | |
BCBS
| Professional | $58.53 | $58.53 | $58.53 | |
Cigna
| Facility | $48.98 | $48.98 | $75.73 | |
Cigna
| Professional | $35.76 | $48.98 | $66.31 | |
United
| Professional | $25.19 | $37.78 | $59.69 |