| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
BCBS
| Facility | $53.42 | $53.42 | $97.22 | |
BCBS
| Professional | $50.77 | $60.11 | $63.00 | |
Cigna
| Facility | $59.16 | $59.16 | $62.23 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
United
| Professional | $20.74 | $31.12 | $51.86 |