| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.35 | $159.35 | $159.35 | |
Aetna
| Professional | $49.03 | $49.03 | $50.99 | |
BCBS
| Facility | $48.42 | $48.42 | $51.16 | |
BCBS
| Professional | $49.03 | $49.03 | $49.03 | |
Cigna
| Facility | $46.26 | $49.03 | $49.03 | |
Cigna
| Professional | $49.03 | $49.03 | $49.03 | |
United
| Professional | $13.59 | $49.03 | $49.03 |