| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.75 | $40.75 | $40.75 | |
Aetna
| Professional | $38.07 | $40.75 | $50.59 | |
BCBS
| Facility | $51.28 | $62.23 | $83.72 | |
Cigna
| Facility | $28.27 | $33.65 | $76.23 | |
United
| Professional | $40.60 | $54.60 | $71.84 |