| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.72 | $67.72 | $67.72 | |
Aetna
| Professional | $91.54 | $99.78 | $100.69 | |
BCBS
| Professional | $136.00 | $160.00 | $160.00 | |
Cigna
| Facility | $86.36 | $86.36 | $86.36 | |
Cigna
| Professional | $91.54 | $129.54 | $129.54 | |
United
| Professional | $91.54 | $91.54 | $91.54 |