| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.38 | $42.38 | $42.38 | |
Aetna
| Professional | $41.38 | $41.38 | $42.38 | |
BCBS
| Facility | $43.97 | $43.97 | $43.97 | |
BCBS
| Professional | $43.97 | $43.97 | $43.97 | |
Cigna
| Facility | $43.88 | $43.88 | $43.88 | |
United
| Professional | $42.28 | $42.28 | $44.87 |