| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.50 | $49.50 | $49.50 | |
Aetna
| Professional | $36.85 | $49.49 | $49.50 | |
BCBS
| Professional | $44.29 | $52.10 | $52.10 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
United
| Professional | $47.89 | $52.10 | $52.25 |