| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.41 | $65.41 | $65.41 | |
Aetna
| Professional | $65.41 | $65.41 | $75.87 | |
BCBS
| Professional | $65.41 | $65.41 | $65.41 | |
Cigna
| Facility | $65.40 | $65.40 | $65.40 | |
Cigna
| Professional | $65.40 | $65.40 | $94.56 | |
United
| Professional | $56.91 | $65.41 | $78.14 |