| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.53 | $43.53 | $60.94 | |
Aetna
| Professional | $43.53 | $43.53 | $43.53 | |
BCBS
| Facility | $24.30 | $28.51 | $35.63 | |
BCBS
| Professional | $35.63 | $35.63 | $36.34 | |
Cigna
| Facility | $40.71 | $40.71 | $40.71 | |
Cigna
| Professional | $40.71 | $40.71 | $40.71 | |
United
| Professional | $39.90 | $39.90 | $47.77 |