| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $49.50 | $74.25 | |
Aetna
| Professional | $49.50 | $49.50 | $54.45 | |
BCBS
| Facility | $39.97 | $39.97 | $39.97 | |
BCBS
| Professional | $38.24 | $39.97 | $39.97 | |
Cigna
| Facility | $22.04 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
United
| Professional | $42.72 | $49.20 | $52.10 |