| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.68 | $46.68 | $46.68 | |
Aetna
| Professional | $32.43 | $46.68 | $52.26 | |
BCBS
| Professional | $39.60 | $39.60 | $39.60 | |
Cigna
| Facility | $51.17 | $51.17 | $51.17 | |
Cigna
| Professional | $43.49 | $43.49 | $52.71 | |
United
| Professional | $24.08 | $36.11 | $53.12 |