| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.06 | $74.06 | $74.06 | |
Aetna
| Professional | $42.50 | $74.06 | $74.06 | |
BCBS
| Professional | $64.00 | $64.00 | $64.00 | |
Cigna
| Facility | $47.13 | $47.13 | $47.13 | |
Cigna
| Professional | $34.40 | $47.13 | $71.59 | |
United
| Professional | $33.78 | $50.57 | $88.51 |