| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.06 | $41.06 | $41.06 | |
Aetna
| Professional | $41.06 | $41.06 | $41.11 | |
BCBS
| Professional | $45.84 | $53.93 | $53.93 | |
Cigna
| Facility | $38.78 | $38.78 | $38.78 | |
Cigna
| Professional | $41.11 | $41.11 | $58.17 | |
United
| Professional | $41.11 | $41.11 | $41.11 |