| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.34 | $66.34 | $66.34 | |
Aetna
| Professional | $65.88 | $71.81 | $72.47 | |
BCBS
| Professional | $153.00 | $180.00 | $180.00 | |
Cigna
| Facility | $62.15 | $62.15 | $62.15 | |
Cigna
| Professional | $65.88 | $93.23 | $93.23 | |
United
| Professional | $65.88 | $65.88 | $65.88 |