| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.76 | $109.76 | $109.76 | |
Aetna
| Professional | $51.96 | $109.76 | $109.76 | |
BCBS
| Professional | $90.58 | $90.58 | $90.58 | |
Cigna
| Facility | $81.30 | $81.30 | $121.06 | |
Cigna
| Professional | $59.35 | $81.30 | $106.00 | |
United
| Professional | $35.97 | $53.95 | $82.88 |