| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.39 | $108.39 | $108.39 | |
Aetna
| Professional | $51.30 | $108.39 | $108.39 | |
BCBS
| Professional | $86.57 | $86.57 | $86.57 | |
Cigna
| Facility | $75.09 | $75.09 | $121.33 | |
Cigna
| Professional | $54.82 | $75.09 | $106.25 | |
United
| Professional | $39.97 | $59.95 | $90.31 |