| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $42.13 | $51.43 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
BCBS
| Facility | $66.86 | $69.43 | $69.43 | |
Cigna
| Facility | $42.13 | $42.13 | $42.13 | |
Cigna
| Professional | $42.13 | $59.10 | $73.88 | |
United
| Professional | $17.73 | $21.07 | $63.20 |