| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.36 | $57.60 | $57.60 | |
Aetna
| Professional | $39.36 | $40.79 | $57.60 | |
BCBS
| Facility | $38.40 | $38.40 | $42.24 | |
Cigna
| Facility | $42.40 | $42.40 | $42.40 | |
Cigna
| Professional | $42.40 | $42.40 | $42.40 | |
United
| Professional | $48.00 | $50.00 | $64.00 |