| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.43 | $51.43 | $242.25 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
BCBS
| Facility | $51.43 | $51.43 | $51.43 | |
BCBS
| Professional | $51.43 | $51.43 | $51.43 | |
Cigna
| Facility | $163.63 | $163.63 | $163.63 | |
Cigna
| Professional | $42.13 | $59.10 | $73.88 | |
United
| Professional | $18.60 | $25.33 | $67.64 |