| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.40 | $84.40 | $84.40 | |
Aetna
| Professional | $39.95 | $81.94 | $84.40 | |
BCBS
| Professional | $67.41 | $67.41 | $67.41 | |
Cigna
| Facility | $56.56 | $56.56 | $93.06 | |
Cigna
| Professional | $41.29 | $56.56 | $81.48 | |
United
| Professional | $27.61 | $44.42 | $66.12 |