| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.06 | $69.06 | $69.06 | |
Aetna
| Professional | $33.39 | $69.06 | $79.87 | |
BCBS
| Professional | $59.00 | $59.00 | $59.00 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
United
| Professional | $26.86 | $42.45 | $65.31 |