| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.83 | $39.83 | $39.83 | |
Aetna
| Professional | $39.83 | $39.83 | $39.83 | |
BCBS
| Professional | $38.76 | $38.76 | $38.76 | |
Cigna
| Facility | $37.57 | $37.57 | $37.57 | |
Cigna
| Professional | $39.83 | $39.83 | $56.36 | |
United
| Professional | $39.83 | $39.83 | $39.83 |