| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.04 | $71.04 | $71.04 | |
Aetna
| Professional | $70.70 | $77.06 | $77.77 | |
BCBS
| Professional | $255.00 | $300.00 | $300.00 | |
Cigna
| Facility | $66.69 | $66.69 | $66.69 | |
Cigna
| Professional | $70.70 | $100.04 | $100.04 | |
United
| Professional | $70.70 | $70.70 | $70.70 |