| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.47 | $154.47 | $154.47 | |
Aetna
| Professional | $47.53 | $48.00 | $49.43 | |
BCBS
| Facility | $48.38 | $48.38 | $99.07 | |
BCBS
| Professional | $47.53 | $47.53 | $47.53 | |
Cigna
| Facility | $44.83 | $47.52 | $47.52 | |
Cigna
| Professional | $47.52 | $47.52 | $47.52 | |
United
| Professional | $47.53 | $47.53 | $53.23 |