| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.55 | $54.55 | $54.55 | |
Aetna
| Professional | $52.63 | $54.55 | $90.72 | |
BCBS
| Professional | $56.42 | $56.42 | $56.42 | |
Cigna
| Facility | $54.55 | $54.55 | $54.55 | |
Cigna
| Professional | $54.55 | $54.55 | $88.15 | |
United
| Professional | $56.42 | $56.42 | $58.11 |