| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.59 | $80.59 | $80.59 | |
Aetna
| Professional | $38.14 | $80.59 | $80.59 | |
BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Facility | $56.02 | $56.02 | $88.87 | |
Cigna
| Professional | $40.89 | $40.89 | $103.13 | |
United
| Professional | $26.40 | $42.42 | $63.24 |