| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.47 | $141.47 | $141.47 | |
Aetna
| Professional | $34.82 | $34.82 | $37.00 | |
BCBS
| Facility | $37.00 | $38.46 | $40.63 | |
BCBS
| Professional | $43.10 | $43.10 | $43.10 | |
Cigna
| Facility | $40.71 | $40.71 | $40.71 | |
Cigna
| Professional | $40.71 | $40.71 | $40.71 | |
United
| Professional | $39.90 | $39.90 | $39.90 |