| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.70 | $83.70 | $83.70 | |
Aetna
| Professional | $39.61 | $83.70 | $83.70 | |
BCBS
| Professional | $65.38 | $65.38 | $65.38 | |
Cigna
| Facility | $53.85 | $53.85 | $100.16 | |
Cigna
| Professional | $39.31 | $53.85 | $87.70 | |
United
| Professional | $28.66 | $43.84 | $67.45 |