| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.55 | $105.55 | $105.55 | |
Aetna
| Professional | $49.97 | $105.55 | $105.55 | |
BCBS
| Professional | $62.03 | $62.03 | $62.03 | |
Cigna
| Facility | $75.70 | $75.70 | $117.04 | |
Cigna
| Professional | $55.27 | $55.27 | $135.75 | |
United
| Professional | $35.04 | $55.56 | $83.91 |