| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.85 | $42.85 | $42.85 | |
Aetna
| Professional | $30.68 | $42.85 | $53.95 | |
BCBS
| Facility | $603.22 | $732.04 | $984.82 | |
Cigna
| Facility | $88.54 | $88.54 | $88.54 | |
Cigna
| Professional | $88.54 | $88.54 | $88.54 | |
United
| Professional | $36.40 | $42.84 | $44.55 |