| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.31 | $54.38 | $7,564.00 | |
Aetna
| Professional | $45.31 | $47.58 | $54.38 | |
BCBS
| Facility | $48.82 | $48.82 | $48.82 | |
Cigna
| Facility | $43.07 | $45.31 | $45.31 | |
Cigna
| Professional | $45.31 | $45.31 | $45.31 | |
United
| Professional | $45.31 | $45.31 | $58.00 |