| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $34.67 | $45.71 | $57.54 | |
BCBS
| Professional | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $51.29 | $51.29 | $112.20 | |
Cigna
| Professional | $43.65 | $43.65 | $53.70 | |
United
| Facility | $51.29 | $51.29 | $51.29 | |
United
| Professional | $23.99 | $36.31 | $51.29 |