| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.23 | $45.23 | $47.49 | |
Aetna
| Professional | $45.22 | $45.23 | $49.75 | |
BCBS
| Facility | $45.28 | $45.28 | $45.28 | |
BCBS
| Professional | $45.28 | $45.28 | $45.28 | |
Cigna
| Facility | $45.23 | $45.23 | $45.23 | |
Cigna
| Professional | $20.32 | $45.23 | $65.05 | |
United
| Professional | $27.14 | $31.66 | $77.20 |