| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.14 | $42.14 | $42.14 | |
Aetna
| Professional | $41.15 | $41.15 | $42.14 | |
BCBS
| Facility | $41.31 | $41.31 | $41.31 | |
BCBS
| Professional | $41.31 | $41.31 | $41.31 | |
Cigna
| Facility | $29.84 | $42.14 | $42.14 | |
Cigna
| Professional | $42.14 | $42.14 | $42.14 | |
United
| Professional | $37.18 | $41.31 | $41.31 |