| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.92 | $113.92 | $113.92 | |
Aetna
| Professional | $57.85 | $113.92 | $113.92 | |
BCBS
| Professional | $85.91 | $85.91 | $85.91 | |
Cigna
| Facility | $89.19 | $89.19 | $137.86 | |
Cigna
| Professional | $65.11 | $89.19 | $120.72 | |
United
| Professional | $40.31 | $67.61 | $93.18 |