| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.27 | $179.27 | $179.27 | |
Aetna
| Professional | $55.16 | $55.71 | $57.37 | |
BCBS
| Facility | $54.58 | $55.16 | $58.28 | |
BCBS
| Professional | $55.16 | $55.16 | $55.16 | |
Cigna
| Facility | $52.04 | $55.16 | $55.16 | |
Cigna
| Professional | $55.16 | $55.16 | $55.16 | |
United
| Professional | $22.06 | $55.16 | $55.16 |