| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.63 | $70.63 | $70.63 | |
Aetna
| Professional | $35.86 | $70.63 | $70.63 | |
BCBS
| Professional | $62.53 | $62.53 | $62.53 | |
Cigna
| Facility | $59.87 | $59.87 | $92.55 | |
Cigna
| Professional | $43.71 | $59.87 | $81.04 | |
United
| Professional | $27.94 | $41.92 | $64.59 |