| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.54 | $55.54 | $55.54 | |
Aetna
| Professional | $55.54 | $55.54 | $55.54 | |
BCBS
| Professional | $69.43 | $86.00 | $178.00 | |
Cigna
| Facility | $110.96 | $110.96 | $110.96 | |
Cigna
| Professional | $64.02 | $64.02 | $80.02 | |
United
| Professional | $23.33 | $23.33 | $55.54 |