| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.48 | $68.48 | $68.48 | |
Aetna
| Professional | $68.48 | $74.65 | $75.34 | |
BCBS
| Professional | $51.00 | $60.00 | $60.00 | |
Cigna
| Facility | $64.61 | $64.61 | $64.61 | |
Cigna
| Professional | $68.48 | $96.92 | $96.92 | |
United
| Professional | $68.48 | $68.48 | $68.48 |