| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.58 | $159.71 | $183.86 | |
Aetna
| Professional | $39.81 | $39.81 | $45.78 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $37.56 | $54.60 | $54.60 | |
Cigna
| Professional | $54.60 | $54.60 | $54.60 | |
United
| Professional | $0.50 | $0.50 | $57.62 |