| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $38.02 | $38.02 | $52.48 | |
BCBS
| Professional | $63.10 | $74.13 | $74.13 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $38.90 | $46.77 | $54.95 | |
United
| Professional | $50.12 | $61.66 | $125.89 |