| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.48 | $55.48 | $55.48 | |
Aetna
| Professional | $54.71 | $54.71 | $55.48 | |
BCBS
| Professional | $58.45 | $68.76 | $68.76 | |
Cigna
| Facility | $51.61 | $51.61 | $51.61 | |
Cigna
| Professional | $54.71 | $54.71 | $77.42 | |
United
| Professional | $54.71 | $54.71 | $54.71 |