| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.62 | $49.62 | $49.62 | |
Aetna
| Professional | $47.87 | $49.62 | $82.53 | |
BCBS
| Professional | $48.65 | $48.65 | $49.04 | |
Cigna
| Facility | $49.62 | $49.62 | $49.62 | |
Cigna
| Professional | $49.62 | $49.62 | $74.34 | |
United
| Professional | $48.65 | $48.65 | $48.65 |