| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.21 | $179.21 | $179.21 | |
Aetna
| Professional | $44.11 | $44.11 | $46.87 | |
BCBS
| Facility | $46.87 | $48.71 | $51.46 | |
BCBS
| Professional | $34.74 | $49.63 | $49.63 | |
Cigna
| Facility | $46.87 | $46.87 | $46.87 | |
Cigna
| Professional | $46.87 | $46.87 | $46.87 | |
United
| Professional | $8.73 | $45.95 | $45.95 |