| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.23 | $77.23 | $77.23 | |
Aetna
| Professional | $44.32 | $77.23 | $77.23 | |
BCBS
| Professional | $99.00 | $99.00 | $99.00 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $37.95 | $40.45 | |
United
| Professional | $35.22 | $52.76 | $96.34 |