| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.63 | $54.95 | $57.84 | |
Aetna
| Professional | $52.63 | $57.84 | $57.84 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $35.86 | $42.11 | $43.13 | |
Cigna
| Professional | $56.91 | $56.91 | $56.91 | |
United
| Professional | $23.14 | $45.98 | $68.04 |