| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.72 | $76.72 | $76.72 | |
Aetna
| Professional | $38.97 | $76.72 | $76.72 | |
BCBS
| Professional | $67.93 | $67.93 | $67.93 | |
Cigna
| Facility | $50.66 | $50.66 | $90.80 | |
Cigna
| Professional | $36.97 | $50.66 | $79.50 | |
United
| Professional | $26.96 | $45.53 | $62.69 |