| 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 | $52.35 | $65.44 | $69.29 | |
Cigna
| Professional | $21.25 | $21.25 | $21.25 | |
United
| Professional | $23.69 | $35.53 | $59.22 |