| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.28 | $97.28 | $97.28 | |
Aetna
| Professional | $46.05 | $97.28 | $97.28 | |
BCBS
| Professional | $80.28 | $80.28 | $80.28 | |
Cigna
| Facility | $59.89 | $59.89 | $107.26 | |
Cigna
| Professional | $43.72 | $59.89 | $93.93 | |
United
| Professional | $31.88 | $47.81 | $74.08 |