| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.55 | $71.55 | $71.55 | |
Aetna
| Professional | $71.55 | $77.98 | $78.70 | |
BCBS
| Professional | $88.55 | $104.18 | $104.18 | |
Cigna
| Facility | $67.50 | $67.50 | $67.50 | |
Cigna
| Professional | $71.55 | $101.25 | $101.25 | |
United
| Professional | $71.55 | $71.55 | $71.55 |