| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.00 | $52.00 | $52.00 | |
Aetna
| Professional | $52.00 | $52.00 | $52.00 | |
BCBS
| Professional | $46.20 | $46.20 | $46.20 | |
Cigna
| Facility | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $21.25 | $21.25 | $51.69 | |
United
| Professional | $23.69 | $35.53 | $48.92 |