| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.11 | $34.11 | $34.11 | |
Aetna
| Professional | $34.11 | $34.11 | $43.41 | |
BCBS
| Professional | $51.00 | $60.00 | $60.00 | |
Cigna
| Facility | $40.95 | $40.95 | $40.95 | |
Cigna
| Professional | $43.41 | $43.41 | $61.43 | |
United
| Professional | $43.41 | $43.41 | $43.41 |