| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.00 | $47.00 | $47.00 | |
Aetna
| Professional | $32.50 | $39.31 | $93.51 | |
BCBS
| Professional | $58.75 | $73.00 | $150.00 | |
Cigna
| Facility | $94.21 | $94.21 | $94.21 | |
Cigna
| Professional | $76.69 | $76.69 | $100.87 | |
United
| Professional | $19.73 | $19.73 | $47.00 |