| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.55 | $31.55 | $392.52 | |
Aetna
| Professional | $31.55 | $31.55 | $32.22 | |
BCBS
| Professional | $56.92 | $66.95 | $66.95 | |
Cigna
| Facility | $30.39 | $30.39 | $30.39 | |
Cigna
| Professional | $32.22 | $32.22 | $45.59 | |
United
| Professional | $32.22 | $32.22 | $32.22 |