| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.64 | $71.64 | $71.64 | |
Aetna
| Professional | $36.39 | $71.64 | $71.64 | |
BCBS
| Professional | $56.47 | $56.47 | $56.47 | |
Cigna
| Facility | $50.36 | $50.36 | $77.84 | |
Cigna
| Professional | $36.76 | $50.36 | $68.17 | |
United
| Professional | $25.89 | $42.52 | $59.85 |