| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.50 | $81.22 | $81.22 | |
Aetna
| Professional | $55.50 | $57.53 | $81.22 | |
BCBS
| Facility | $50.76 | $50.76 | $50.76 | |
Cigna
| Facility | $57.53 | $57.53 | $57.53 | |
Cigna
| Professional | $57.53 | $57.53 | $57.53 | |
United
| Professional | $54.14 | $56.40 | $72.19 |