| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $53.70 | $53.70 | |
Aetna
| Professional | $38.02 | $45.71 | $53.70 | |
BCBS
| Professional | $67.61 | $83.18 | $173.78 | |
Cigna
| Facility | $109.65 | $109.65 | $109.65 | |
Cigna
| Professional | $61.66 | $61.66 | $77.62 | |
United
| Facility | $53.70 | $53.70 | $53.70 | |
United
| Professional | $22.91 | $22.91 | $53.70 |