| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.21 | $96.21 | $96.21 | |
Aetna
| Professional | $48.87 | $96.21 | $96.21 | |
BCBS
| Professional | $85.19 | $85.19 | $85.19 | |
Cigna
| Facility | $90.38 | $90.38 | $113.85 | |
Cigna
| Professional | $76.81 | $90.38 | $108.94 | |
United
| Professional | $33.82 | $57.10 | $78.61 |