| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.92 | $60.92 | $60.92 | |
Aetna
| Professional | $36.54 | $60.92 | $60.92 | |
BCBS
| Facility | $56.58 | $56.58 | $62.24 | |
BCBS
| Professional | $53.89 | $53.89 | $53.89 | |
Cigna
| Professional | $56.91 | $56.91 | $56.91 | |
United
| Professional | $23.14 | $61.67 | $77.70 |