| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.20 | $74.20 | $74.20 | |
Aetna
| Professional | $37.69 | $74.20 | $74.20 | |
BCBS
| Professional | $65.70 | $65.70 | $65.70 | |
Cigna
| Facility | $69.70 | $69.70 | $87.79 | |
Cigna
| Professional | $59.25 | $69.70 | $84.03 | |
United
| Professional | $26.09 | $44.04 | $60.30 |