| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $49.50 | $49.50 | |
Aetna
| Professional | $49.50 | $49.50 | $54.45 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $49.50 | $49.50 | $49.50 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $31.67 | $48.76 | $48.76 | |
United
| Professional | $43.54 | $49.20 | $52.10 |