| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.23 | $71.23 | $71.23 | |
Aetna
| Professional | $68.48 | $68.48 | $71.23 | |
BCBS
| Facility | $37.54 | $38.40 | $42.67 | |
Cigna
| Facility | $64.61 | $68.48 | $68.48 | |
Cigna
| Professional | $68.48 | $68.48 | $68.48 | |
United
| Professional | $68.48 | $68.48 | $68.48 |