| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.30 | $82.30 | $82.30 | |
Aetna
| Professional | $47.23 | $82.30 | $82.30 | |
BCBS
| Professional | $74.00 | $74.00 | $74.00 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $69.84 | $82.79 | |
United
| Professional | $37.53 | $50.05 | $102.84 |