| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.04 | $105.04 | $105.04 | |
Aetna
| Professional | $49.72 | $105.04 | $105.04 | |
BCBS
| Professional | $86.68 | $86.68 | $86.68 | |
Cigna
| Facility | $70.70 | $70.70 | $115.79 | |
Cigna
| Professional | $51.62 | $70.70 | $101.39 | |
United
| Professional | $34.42 | $54.13 | $80.98 |