| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.26 | $95.26 | $95.26 | |
Aetna
| Professional | $45.09 | $95.26 | $95.26 | |
BCBS
| Professional | $78.62 | $78.62 | $78.62 | |
Cigna
| Facility | $67.95 | $67.95 | $105.04 | |
Cigna
| Professional | $49.61 | $67.95 | $91.98 | |
United
| Professional | $31.21 | $46.81 | $72.54 |