| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.36 | $79.36 | $79.36 | |
Aetna
| Professional | $37.57 | $79.36 | $79.36 | |
BCBS
| Professional | $61.02 | $61.02 | $61.02 | |
Cigna
| Facility | $65.90 | $65.90 | $98.41 | |
Cigna
| Professional | $48.11 | $65.90 | $86.16 | |
United
| Professional | $29.26 | $43.90 | $67.18 |