| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $51.29 | |
Aetna
| Professional | $41.69 | $41.69 | $41.69 | |
BCBS
| Facility | $67.61 | $69.18 | $69.18 | |
Cigna
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $58.88 | $58.88 | $74.13 | |
United
| Facility | $38.02 | $38.02 | $51.29 | |
United
| Professional | $17.78 | $22.91 | $93.33 |