| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $42.00 | |
BCBS
| Facility | $51.86 | $51.86 | $51.86 | |
BCBS
| Professional | $51.86 | $51.86 | $51.86 | |
Cigna
| Professional | $39.75 | $39.75 | $52.59 | |
United
| Professional | $31.12 | $31.12 | $31.12 |