| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.82 | $61.53 | $168.54 | |
Aetna
| Professional | $42.77 | $43.82 | $50.16 | |
BCBS
| Facility | $0.02 | $0.03 | $0.04 | |
BCBS
| Professional | $44.00 | $44.68 | $82.21 | |
Cigna
| Facility | $44.88 | $44.88 | $44.88 | |
Cigna
| Professional | $44.88 | $44.88 | $44.88 | |
United
| Professional | $50.16 | $50.16 | $56.18 |