| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.70 | $83.70 | $83.70 | |
Aetna
| Professional | $39.61 | $57.22 | $83.70 | |
BCBS
| Professional | $62.78 | $62.78 | $62.78 | |
Cigna
| Facility | $53.85 | $53.85 | $100.16 | |
Cigna
| Professional | $39.31 | $39.31 | $116.25 | |
United
| Professional | $28.66 | $43.00 | $64.76 |