| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.61 | $39.61 | $39.61 | |
Aetna
| Professional | $39.54 | $39.54 | $39.61 | |
BCBS
| Professional | $73.44 | $86.40 | $86.40 | |
Cigna
| Facility | $37.29 | $37.29 | $37.29 | |
Cigna
| Professional | $39.54 | $39.54 | $55.96 | |
United
| Professional | $39.54 | $39.54 | $39.54 |