| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.17 | $40.72 | $434.91 | |
Aetna
| Professional | $30.17 | $30.17 | $47.07 | |
BCBS
| Professional | $30.17 | $30.17 | $35.61 | |
Cigna
| Facility | $30.17 | $30.17 | $30.17 | |
Cigna
| Professional | $30.17 | $30.17 | $67.34 | |
United
| Professional | $30.17 | $30.17 | $30.17 |