| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.36 | $143.36 | $143.36 | |
Aetna
| Professional | $44.11 | $44.54 | $45.87 | |
BCBS
| Facility | $44.49 | $44.49 | $63.24 | |
BCBS
| Professional | $44.11 | $44.11 | $44.11 | |
Cigna
| Facility | $41.61 | $44.11 | $44.11 | |
Cigna
| Professional | $44.11 | $44.11 | $44.11 | |
United
| Professional | $44.11 | $44.11 | $44.11 |