| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.13 | $161.13 | $161.13 | |
Aetna
| Professional | $39.65 | $39.65 | $42.14 | |
BCBS
| Facility | $42.14 | $43.79 | $46.27 | |
BCBS
| Professional | $44.62 | $44.62 | $44.62 | |
Cigna
| Facility | $42.14 | $42.14 | $42.14 | |
Cigna
| Professional | $42.14 | $42.14 | $42.14 | |
United
| Professional | $41.31 | $41.31 | $41.31 |