| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $46.77 | $46.77 | $81.28 | |
BCBS
| Professional | $100.00 | $117.49 | $117.49 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $47.86 | $47.86 | $67.61 | |
United
| Facility | $47.86 | $47.86 | $95.50 | |
United
| Professional | $47.86 | $47.86 | $52.48 |