| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $42.28 | $44.39 | |
Aetna
| Professional | $42.28 | $42.28 | $42.28 | |
BCBS
| Facility | $54.96 | $57.08 | $57.08 | |
Cigna
| Facility | $42.28 | $42.28 | $42.28 | |
Cigna
| Professional | $42.28 | $48.57 | $60.71 | |
United
| Professional | $17.73 | $21.14 | $63.42 |