| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.62 | $65.62 | $65.62 | |
Aetna
| Professional | $33.33 | $65.62 | $65.62 | |
BCBS
| Professional | $58.10 | $58.10 | $58.10 | |
Cigna
| Facility | $37.25 | $37.25 | $73.93 | |
Cigna
| Professional | $27.19 | $37.25 | $64.73 | |
United
| Professional | $19.47 | $38.95 | $47.08 |