| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.63 | $77.02 | $77.02 | |
Aetna
| Professional | $52.63 | $54.55 | $77.02 | |
BCBS
| Facility | $46.72 | $46.72 | $48.14 | |
Cigna
| Facility | $31.91 | $54.55 | $54.55 | |
Cigna
| Professional | $54.55 | $54.55 | $54.55 | |
United
| Professional | $54.16 | $56.42 | $73.34 |