| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.24 | $83.24 | $83.24 | |
Aetna
| Professional | $80.04 | $80.04 | $83.24 | |
BCBS
| Facility | $0.02 | $0.02 | $35.20 | |
Cigna
| Facility | $75.51 | $80.04 | $80.04 | |
Cigna
| Professional | $80.04 | $80.04 | $80.04 | |
United
| Professional | $80.04 | $80.04 | $80.04 |