| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.39 | $83.39 | $83.39 | |
Aetna
| Professional | $39.47 | $83.39 | $83.39 | |
BCBS
| Professional | $68.81 | $68.81 | $68.81 | |
Cigna
| Facility | $57.03 | $57.03 | $91.93 | |
Cigna
| Professional | $41.63 | $57.03 | $80.50 | |
United
| Professional | $27.32 | $40.98 | $62.96 |