| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.56 | $40.56 | $40.56 | |
Aetna
| Professional | $40.56 | $45.03 | $45.03 | |
BCBS
| Professional | $50.07 | $58.91 | $58.91 | |
Cigna
| Facility | $42.07 | $42.07 | $42.07 | |
Cigna
| Professional | $44.60 | $44.60 | $63.11 | |
United
| Professional | $44.60 | $44.60 | $44.60 |