| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.14 | $42.14 | $42.14 | |
Aetna
| Professional | $40.65 | $42.14 | $70.08 | |
BCBS
| Facility | $702.39 | $852.39 | $1,146.73 | |
Cigna
| Facility | $42.14 | $42.14 | $42.14 | |
Cigna
| Professional | $42.14 | $42.14 | $64.84 | |
United
| Professional | $41.31 | $41.31 | $41.31 |