| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $89.13 | |
Aetna
| Professional | $41.69 | $41.69 | $41.69 | |
BCBS
| Professional | $77.62 | $77.62 | $77.62 | |
Cigna
| Facility | $33.11 | $40.74 | $95.50 | |
Cigna
| Professional | $41.69 | $41.69 | $74.13 | |
United
| Facility | $42.66 | $46.77 | $51.29 | |
United
| Professional | $17.78 | $25.12 | $44.67 |